| NPI | 1922804970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HERNANDEZ CEO 949-813-5161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2026-03-17 |