| NPI | 1861912842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS RILEY Managing Member 949-903-4834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300670AP) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |