| NPI | 1801134564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ODOM Account Manager 949-646-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300247AP) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA 300247AP) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2015-10-26 |