| NPI | 1861212102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BEETS Authorized Official 949-933-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |