| NPI | 1568917466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LYNN ADAMS Dispensing Nurse 562-428-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |