| NPI | 1861638652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB CAYDEN DILLON Residential Counselor 949-400-4573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |