| NPI | 1366794547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHARLES DAMATO Executive Director 661-331-2075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |