| NPI | 1043756554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE CLEVELAND Facility Director 661-296-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2022-10-24 |