NPI | 1831917111 |
---|---|
Doing Business As | ALPHA RECOVERY OUTPATIENT SERVICES |
Entity Type | Organization |
Authorized Contact | ANTWAN FARAG CEO 661-934-2190 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-09-26 |
Last Update Date | 2024-09-26 |