| NPI | 1932338241 |
|---|---|
| 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 | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2025-10-31 |