| NPI | 1922548452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L DUENSING Billing Manager 949-877-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2022-03-21 |