# BRANDON J INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Serenity Place Alcohol & Drug Tx. Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154451086
- **Authorized official:** MRS. LOURDES A. LEFEVRE COUNSELOR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (909) 433-0330

## Contact information

- **Practice address:** 128 E G ST, SUITE \#111, COLTON, CA 92324-2951
- **Practice address phone:** (909) 433-0330
- **Practice address fax:** (909) 433-0399
- **Mailing address:** 128 E. G ST, SUITE \#111, COLTON,, CA 92324
- **Mailing address phone:** (909) 433-0330
- **Mailing address fax:** (909) 433-0399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 47045 | CA | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 07/12/2007