| NPI | 1730269622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA M. APODACA Executive Program Director 760-357-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 13-02) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-11-29 |