| NPI | 1851150353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLUS KALOKI Administrator 714-676-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-07-17 |