| Addiction Therapeutic Services | |
|
303 E Main St Barstow CA 92311-2325 | |
| (760) 957-7479 | |
| (760) 957-7416 |
| Full Name | Addiction Therapeutic Services |
|---|---|
| Speciality | Preferred Provider Organization |
| Location | 303 E Main St, Barstow, California |
| Authorized Official Name and Position | Josephine Herndon (CEO) |
| Authorized Official Contact | 7604132055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Therapeutic Services 303 E Main St Barstow CA 92311-2325 Ph: (760) 957-7479 | Addiction Therapeutic Services 303 E Main St Barstow CA 92311-2325 Ph: (760) 957-7479 |
| NPI Number | 1063045482 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063045482 | NPI | - | NPPES |
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