NPI | 1851902746 |
---|---|
Entity Type | Organization |
Authorized Contact | BASEM MOUSSA CEO 661-993-2492 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-08-13 |
Last Update Date | 2023-04-19 |