| NPI | 1134930076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANALINA DOSHIER Administrator 661-494-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |