| NPI | 1841837937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE S FLEMING Manager 949-307-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2022-03-11 |