NPI | 1932698412 |
---|---|
Entity Type | Organization |
Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 43034304) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2018-05-09 |
Last Update Date | 2025-07-15 |