Organization
BROCKTON INVESTMENTS & ASSOCIATES, LLC
Active
Other names
Riverside Center for Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GARRON HAYCOCK (SUPERVISOR)
(423) 308-1845
Entity
Organization
Contact information
Practice address
5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
(951) 275-8400
(951) 786-0527
Mailing address
7201 SHALLOWFORD RD, CHATTANOOGA, TN 37421-2780
(423) 308-1845
(423) 308-1844
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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