NPI | 1205227576 |
---|---|
Doing Business As | VICTORVILLE 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 | 2015-02-09 |
Last Update Date | 2022-09-07 |