Organization
INLAND VALLEY DRUG AND ALCOHOL RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA K HUGHES BS, LAADC-CA (CHIEF EXECUTIVE OFFICER)
(909) 932-1069
Entity
Organization
Contact information
Practice address
939 N D ST, SAN BERNARDINO, CA 92410-3519
(909) 889-6519
(909) 889-6560
Mailing address
1260 E ARROW HWY, UPLAND, CA 91786-4982
(909) 932-1069
(909) 932-1087
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
36001AAN
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
360001ABN
CA
Other
Enumeration date
07/31/2009
Last updated
12/28/2023
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