Organization
VA LOMA LINDA HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE DEANN ALTOMONTE MA, LPC, NCC (PSYCHOLOGY TECHNICIAN)
(909) 825-7084
Entity
Organization
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/09/2009
Last updated
09/01/2014
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