| Pomona Alcohol & Drug Recovery Center | |
|
475 Bangor St Pomona CA 91767-2443 | |
| (909) 622-2272 | |
| (909) 622-6334 |
| Full Name | Pomona Alcohol & Drug Recovery Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 475 Bangor St, 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 475 Bangor St Pomona CA 91767-2443 Ph: (909) 622-2272 |
| NPI Number | 1639476484 |
|---|---|
| Provider Enumeration Date | 02/14/2011 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639476484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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