| NPI | 1285067215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI MCCORMICK Program Director 661-832-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 150055ap) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |