| Just Us 4 Youth | |
|
158 W 3rd St Pomona CA 91766-1742 | |
| (909) 784-5787 | |
| Not Available |
| Full Name | Just Us 4 Youth |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 158 W 3rd St, Pomona, California |
| Authorized Official Name and Position | Paul Hudak (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5623227240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Just Us 4 Youth 158 W 3rd St Pomona CA 91766-1742 Ph: () - | Just Us 4 Youth 158 W 3rd St Pomona CA 91766-1742 Ph: (909) 784-5787 |
| NPI Number | 1932853363 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932853363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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