| NPI | 1184990814 |
|---|---|
| Doing Business As | AZUSA MEDICAL AND MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN BLANKS Executive Director 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 19-126) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2023-04-11 |