Organization
NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL RUEDI (EXECUTIVE DIRECTOR)
(626) 331-5316
Entity
Organization
Contact information
Practice address
4626 NORTH GRAND AVENUE, AOVINA, CA 91724-2055
(626) 331-5316
(626) 332-2219
Mailing address
4626 N GRAND AVE, COVINA, CA 91724-2055
(626) 331-5316
(626) 332-2219
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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