Organization
NEW HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAT SUTAY (EXECUTIVE DIRECTOR)
(909) 881-0390
Entity
Organization
Contact information
Practice address
2130 N ARROWHEAD AVE, SUITE 112, SAN BERNARDINO, CA 92405-4029
(909) 881-0390
(909) 881-0391
Mailing address
2130 N ARROWHEAD AVE, SUITE 112, SAN BERNARDINO, CA 92405-4029
(909) 881-0390
(909) 881-0391
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
COUNSELOR/ADDICTION (SUBSTANCE USE DISORDER)
CA
Enumeration date
03/08/2011
Last updated
03/08/2011
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