| NPI | 1285392704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIA BROWN Administrator 661-527-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |