| NPI | 1902622335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A EONTA CEO 949-973-2027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-03 |