NPI | 1861051799 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER GATES Chief Operating Officer 949-701-1959 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-06-13 |
Last Update Date | 2019-06-13 |