| 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 | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 150004CN) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2023-05-08 |