| NPI | 1689890758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEANJAY R SHARMA C E O 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 0195) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-05-27 |