| NPI | 1720644123 |
|---|---|
| Doing Business As | CHOICE - BARSTOW CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERICA PORTEOUS Chief Compliance Officer 909-388-0882 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |