| Pro Recovery Power | |
|
10130 Foothill Blvd Unit 107 Rancho Cucamonga CA 91730-3735 | |
| (909) 738-5771 | |
| Not Available |
| Full Name | Pro Recovery Power |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10130 Foothill Blvd Unit 107, Rancho Cucamonga, California |
| Authorized Official Name and Position | Dwight Gambill (CEO) |
| Authorized Official Contact | 9096001859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Recovery Power 10130 Foothill Blvd Unit 107 Rancho Cucamonga CA 91730-3735 Ph: (909) 738-5771 | Pro Recovery Power 10130 Foothill Blvd Unit 107 Rancho Cucamonga CA 91730-3735 Ph: (909) 738-5771 |
| NPI Number | 1609528132 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609528132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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