| NPI | 1104689256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL HARGESTAM Executive Director 661-623-1081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |