NPI | 1851501233 |
---|---|
Entity Type | Organization |
Authorized Contact | PRAMESH PRAKASH SHARMA Sr V P 661-254-6630 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 19-037) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-02-06 |