| NPI | 1801328505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON GIRSKIS Business Operation Specialist 949-359-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2020-10-19 |