| NPI | 1871097311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CHAKALIAN Owner 714-356-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |