NPI | 1801497359 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON BOUQUET CEO 949-291-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-11-02 |
Last Update Date | 2022-02-03 |