| NPI | 1528823432 |
|---|---|
| Former Legal Business Name | COACHELLA VALLEY TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIAM M NIKOGOSYAN Owner 818-441-1049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |