Pomona Alcohol & Drug Recovery Center | |
635 Lincoln Ave Pomona CA 91767-4041 | |
(909) 622-2273 | |
(909) 622-6334 |
Full Name | Pomona Alcohol & Drug Recovery Center |
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Speciality | Community/behavioral Health |
Location | 635 Lincoln Ave, Pomona, California |
Authorized Official Name and Position | Tim Ejindu (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9096222273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pomona Alcohol & Drug Recovery Center Po Box 3936 Ontario CA 91761-0987 Ph: (909) 622-2273 | Pomona Alcohol & Drug Recovery Center 635 Lincoln Ave Pomona CA 91767-4041 Ph: (909) 622-2273 |
NPI Number | 1285931030 |
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Provider Enumeration Date | 02/14/2011 |
Last Update Date | 02/14/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285931030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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