| NPI | 1861751992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD DAUGHERTY CEO 949-835-4359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300239AP) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300239BP) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2017-02-27 |