NPI | 1710218904 |
---|---|
Doing Business As | TRIAD TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | STEPHEN JAMES GROTH Owner 949-545-6930 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA G36991) |
Enumeration Date | 2010-01-27 |
Last Update Date | 2010-01-27 |