NPI | 1942772496 |
---|---|
Entity Type | Organization |
Authorized Contact | RODGER VADEN SHELTON President 949-370-6018 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2018-12-21 |
Last Update Date | 2018-12-21 |