NPI | 1255461414 |
---|---|
Former Legal Business Name | REDLANDS YUCAIPA GUIDANCE CLINIC |
Entity Type | Organization |
Authorized Contact | SONIA JENNY BORJA Director Of Finance 909-335-7067 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 360023FN) |
Additional Taxonomies | 251S00000X (Licence: CA 240000192) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |