Organization
NEW CREATION BEHAVIORAL HEALTHCARE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN SWANSON CADAC II, BS, MBA (CEO/DIRECTOR)
(909) 519-0767
Entity
Organization
Contact information
Practice address
2511 S MCCARTY DR, COLTON, CA 92324-9220
(909) 519-0767
(909) 985-2316
Mailing address
333 E ARROW HWY UNIT 220, UPLAND, CA 91785-7008
(909) 519-0767
(909) 985-2316
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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