| NPI | 1891557112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A YODER CEO 949-558-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |