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Organization
HIS HOUSE NEW CREATION TREATMENT CENTER
Active
Organization
HIS HOUSE NEW CREATION TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISA ESCARRZAGA GUTIERREZ RADT (SUPPORT STAFF)
(951) 732-0437
Entity
Organization
Contact information
Practice address
239 W 9TH ST, UPLAND, CA 91786-5979
(909) 981-6121
(909) 912-8041
Mailing address
239 W 9TH ST, UPLAND, CA 91786-5979
(909) 981-6121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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