| NPI | 1124419379 |
|---|---|
| Doing Business As | ICLASS TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | RENALDO ROLANDO MOODIE Clinical Therapist 951-339-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |