NPI | 1922804970 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN F 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 | 2025-06-10 |