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Organization

FONTANA TREATMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEONID FOOX (PRESIDENT)
(909) 357-2940
Entity
Organization

Contact information

Practice address
9880 SIERRA AVE, SUITE E-F, FONTANA, CA 92335-6714
(909) 357-2940
(909) 357-2999
Mailing address
9880 SIERRA AVE, SUITE E-F, FONTANA, CA 92335-6714
(909) 357-2940
(909) 357-2999

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary

Other

Enumeration date
07/19/2007
Last updated
07/19/2007
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