Organization
ADS PERINATA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA DELIA ARIAS (OFFICE ASSISTANT III)
(951) 217-3609
Entity
Organization
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376
(909) 421-9209
Mailing address
9941 FERON BLVD, RANCHO CUCAMONGA, CA 91730-5270
(951) 217-3609
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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