Organization
LODGEQUEST
Active
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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