| NPI | 1104045293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOWE Executive Director 661-223-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |