| 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 |