| NPI | 1841970183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN CARMEL CFO 949-510-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-11-28 |