| NPI | 1861904716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDIE JO DUNKERSON VP Of Program Services 949-715-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |