| NPI | 1790112324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN SHARMA Executive Directo 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |