Organization
BRANDON J INC
Active
Other names
Serenity Place Alcohol & Drug Tx. Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOURDES A. LEFEVRE COUNSELOR (EXECUTIVE DIRECTOR)
(909) 433-0330
Entity
Organization
Contact information
Practice address
128 E G ST, SUITE #111, COLTON, CA 92324-2951
(909) 433-0330
(909) 433-0399
Mailing address
128 E. G ST, SUITE #111, COLTON,, CA 92324
(909) 433-0330
(909) 433-0399
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
47045
CA
Other
Enumeration date
03/07/2007
Last updated
07/12/2007
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