| NPI | 1235344086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMESH P SHARMA Executive Vice President 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 19-107) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |