NPI | 1861149973 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHTON ABERNETHY Billing Manager 949-315-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-03-08 |
Last Update Date | 2023-09-15 |