Organization
LODGEQUEST
Active
Parent organization
VISIONQUEST NATIONAL LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISIONQUEST NATIONAL LTD
Authorized official
DR. BETH ANN ROSICA PH.D. (VICE PRESIDENT - SERVICE DELIVERY)
(610) 486-2280
Entity
Organization
Contact information
Practice address
16955 LEMON ST, HESPERIA, CA 92345-5139
(760) 947-8223
(760) 947-8225
Mailing address
352 MARSHALLTON THORNDALE RD, DOWNINGTOWN, PA 19335-2063
(610) 486-2280
(610) 384-7258
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
06-08508
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04-74049-000
—
CA
Enumeration date
07/10/2007
Last updated
07/10/2007
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