| NPI | 1801243266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TS RAJAN Medical Director 818-284-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA A26101) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |