Organization
A & D SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEWALE O FAJEWONYOMI (EXECUTIVE DIRECTOR)
(909) 434-5512
Entity
Organization
Contact information
Practice address
582 W VALLEY BLVD, 12, COLTON, CA 92324-2273
(909) 434-5512
Mailing address
582 W VALLEY BLVD, 12, COLTON, CA 92324-2273
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/12/2009
Last updated
12/12/2009
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