| NPI | 1902263478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN BLANKS Executive Director 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2023-04-11 |