| NPI | 1841859402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PERRAIE COO 714-313-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2022-01-10 |