NPI | 1184105488 |
---|---|
Doing Business As | SAN BERNRDINO CHOICE SUBSTANCE USE DISORDER TREATMENT |
Doing Business As | SAN BERNARDINO CHOICE SUBSTANCE USE DISORDER TREATMENT |
Entity Type | Organization |
Authorized Contact | ERICA PORTEOUS Chief Compliance Officer 909-388-0882 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-08-24 |
Last Update Date | 2018-10-31 |