| NPI | 1124519509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRIS L WRIGHT Director 661-220-9187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |