| NPI | 1366034019 |
|---|---|
| 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 |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2023-04-11 |