| NPI | 1881080265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODGER V SHELTON President 949-370-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2018-12-28 |