| NPI | 1972119733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RWABUNEZA VIOLET MUSTARI CEO 949-449-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 251B00000X Case Management | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |