NPI | 1841840667 |
---|---|
Doing Business As | INNROADS - MOBILE TREATMENT TEAM |
Entity Type | Organization |
Authorized Contact | ERICA PORTEOUS Chief Compliance Officer 909-388-0879 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2019-09-13 |
Last Update Date | 2019-09-13 |