NPI | 1700896511 |
---|---|
Entity Type | Organization |
Authorized Contact | JACLYN JEAN BATTALIA Clinical Director 213-747-7267 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA CAADP19010) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-08-22 |