Individual
ROBERT BRINKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11646 ENCANTO LN, COLTON, CA 92324-9218
(909) 296-5007
Mailing address
1804B MAIN ST, RIVERSIDE, CA 92501-1830
(951) 490-3266
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
R1544990124
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
R1544990124
CA
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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