| NPI | 1679862452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA C BERNSTEIN Clinical Supervisor 760-744-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |