NPI | 1891473427 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON HILGER Chief Executive Officer 949-234-6250 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2023-07-05 |
Last Update Date | 2024-08-21 |