| NPI | 1912390493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MILLER CEO 714-296-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA MFC 43207) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |