| NPI | 1235344086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN BLANKS C E O 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 19-107) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2025-10-31 |