| NPI | 1437372778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JEROME SANFILIPPO Counselor 619-718-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: CA 101YA0400X) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |