| NPI | 1851691737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL KAZUO FUJIHARA Executive Director 714-960-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 300152BP) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2018-10-24 |