| 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 |