| 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 |