| NPI | 1144777897 |
|---|---|
| Doing Business As | JASON'S RETREAT OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | GILBERT LAROQUE Director 661-325-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 150004CN) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2025-07-03 |