NPI | 1013272558 |
---|---|
Doing Business As | FONTANA CHOICE SUBSTANCE USE DISORDER TREATMENT |
Entity Type | Organization |
Authorized Contact | ERICA OCHOA Chief Compliance Officer 909-388-0882 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2012-07-11 |
Last Update Date | 2021-06-17 |