| NPI | 1861562019 |
|---|---|
| Other Name | PALMDALE |
| Entity Type | Organization |
| Authorized Contact | SEANJAY RAMANAND SHARMA C E O 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 19 141) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-04-01 |