| NPI | 1972972560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH D SMITH CEO 949-289-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300324AP) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |