NPI | 1518677103 |
---|---|
Doing Business As | SUDRS - APPLE VALLEY RECOVERY CENTER |
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 | 2022-12-05 |
Last Update Date | 2023-04-18 |