| NPI | 1609997865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL HERSCHMAN Otd Division President 760-918-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 37-15) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |