| NPI | 1174189690 |
|---|---|
| Doing Business As | CHOICE - BARSTOW CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERICA OCHOA Chief Compliance Officer 909-388-0882 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2022-09-07 |