| Pomona Alcohol & Recovery Center | |
|
12768 Torch St Baldwin Park CA 91706-3528 | |
| (909) 622-2273 | |
| (909) 622-6334 |
| Full Name | Pomona Alcohol & Recovery Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12768 Torch St, Baldwin Park, 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 & Recovery Center Po Box 3936 Ontario CA 91761-0987 Ph: (909) 622-2273 | Pomona Alcohol & Recovery Center 12768 Torch St Baldwin Park CA 91706-3528 Ph: (909) 622-2273 |
| NPI Number | 1760788798 |
|---|---|
| Provider Enumeration Date | 02/09/2011 |
| Last Update Date | 02/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760788798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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