NPI | 1871131078 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMAN ELEY Chief Of Operations 714-225-5994 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-12-18 |
Last Update Date | 2019-12-20 |