| NPI | 1073314993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE LEE FIELDS Recovery Specialist Ii 661-868-7804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |