Organization
BRANDON J INC/SERENITY PLACE
Active
Other names
ACTS For Children
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOURDES A LEFEVRE (EXECUTIVE DIRECTOR)
(909) 433-0330
Entity
Organization
Contact information
Practice address
128 E. G ST STE #111, COLTON, CA 92324
(909) 433-0330
(909) 433-0399
Mailing address
128 E G ST STE 111, 140 W. D ST, COLTON, CA 92324-2943
(909) 433-0330
(909) 433-0399
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
368607
CA
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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