| NPI | 1952421174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WALLIN Executive Director 714-991-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300025AP) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |