| NPI | 1912117029 |
|---|---|
| Doing Business As | HEALTH CARE DUAL DIAGNOSIS PROGRAM II |
| Entity Type | Organization |
| Authorized Contact | DAVID MCGUIRE President 909-821-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |