| NPI | 1851075295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN LEE WINBERRY CEO 949-836-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |