Organization
POMONA ALCOHOL & DRUG RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM EJINDU (EXECUTIVE DIRECTOR)
(909) 622-2273
Entity
Organization
Contact information
Practice address
605 N PARK AVE, POMONA, CA 91768-3622
(909) 622-2273
Mailing address
PO BOX 3936, ONTARIO, CA 91761-0987
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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