| 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 |