NPI | 1902589013 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN HUNTER Program Administrator 949-500-7286 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-08-08 |
Last Update Date | 2023-08-08 |