| NPI | 1922459551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEN MOSER Billing Manager 949-446-6281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300631AP) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2023-07-20 |