| NPI | 1346444031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMESH PRAKASH SHARMA Sr V P 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA PENDING) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-01-08 |