| NPI | 1861751992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN VANHOOSER Director Of Compliance 949-750-2014 |
| 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 | 2024-11-05 |