| NPI | 1871936856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MUNGUIA Billing Director 949-430-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300254ap) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA NPF14062) |
| 101YM0800X Counselor, Mental Health (Licence: CA NPF14062) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2016-12-12 |