| NPI | 1902345119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN X DUNPHEY Sole Proprietor, Therapist 949-293-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 96483) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |