| NPI | 1063061117 |
|---|---|
| Doing Business As | INNROADS - WEST VALLEY |
| Entity Type | Organization |
| Authorized Contact | ERICA PORTEOUS Chief Compliance Officer 909-388-0879 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-10-03 |