| NPI | 1790163319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FRANCIS KANUTE Chief Operations Officer 949-315-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0755AD237401) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2023-10-02 |