is a Addiction (substance Use Disorder) in Rancho Cucamonga, California. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1215147152. The last update date is .
's current location address is 9375 Archibald Ave, Rancho Cucamonga, California. You can contact this provider via phone number 9099899724 and fax number 9099890249. The mailing address for is 9375 Archibald Ave, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 9375 Archibald Ave, Rancho Cucamonga, California |
| Phone Number | 9099899724 |
| Fax Number | 9099890249 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1215147152 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 9375 Archibald Ave |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917305729 |
| Phone Number | 9099899724 |
| Fax Number | 9099890249 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | IMF 05438 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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