| NPI | 1881142313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER M GATES Chief Operating Officer 949-548-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 300312BP) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |