| NPI | 1891473427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAILY ELEANOR GOUGER Director Of Operations 949-234-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |