| NPI | 1871864983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE CAMERON PEARCE Administrator 949-400-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 300216AP) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |