| NPI | 1881822377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH C JONES Supervisor 661-325-2732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |