| NPI | 1831552850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH B RANDLE President 949-689-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA c50412) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |