| NPI | 1932504099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE FENNELLY Founder/President/CEO 949-467-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |