| NPI | 1275804205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMESH P SHARMA Administrative Director 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2022-09-20 |