| NPI | 1194022707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY DONNA WILLIAMS Program Director 213-749-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |