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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