| NPI | 1568677235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMESH PRAKASH SHARMA Sr V P 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 19AP) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-01-08 |