| NPI | 1154822088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWEE HYLER Administrator 661-864-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA A122488) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |