NPI | 1740569235 |
---|---|
Doing Business As | NEW CREATION ADDICTION TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | CAROL LYNN SWANSON CFO 909-981-6121 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 360075AP) |
Enumeration Date | 2011-08-15 |
Last Update Date | 2021-11-30 |