| NPI | 1922364413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN SHARMA Executive Director 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 01-95) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-30 |