| NPI | 1801385620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ANN SORENSEN Member 949-945-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2023-07-11 |