NPI | 1649473695 |
---|---|
Entity Type | Organization |
Authorized Contact | NORMA M APODACA Executive Program Director 760-482-0864 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2007-06-07 |
Last Update Date | 2021-11-29 |