| NPI | 1982097291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL EDWARDS Executive Director 949-675-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300168IP) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |