| NPI | 1154840320 |
|---|---|
| Doing Business As | RESIDENTIAL DETOX & SUD TREATMENT |
| Entity Type | Organization |
| Authorized Contact | JAMES COOK Administrator/CEO 661-942-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2019-05-23 |