| NPI | 1811402696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA S PHAM Compliance Officer 949-237-0893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2018-05-03 |