| NPI | 1790533800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE JONES Complaince Officer 714-561-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |