NPI | 1366512550 |
---|---|
Other Name | VENICE |
Entity Type | Organization |
Authorized Contact | SEANJAY R SHARMA C E O 661-254-6630 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 19 142) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-04-01 |