| NPI | 1841679131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMESH P SHARMA Administrat Director 661-313-5503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RW4776) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2024-06-28 |