Organization
ST. JOHN OF GOD HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY BARNES (ADMINISTRATOR)
(760) 241-4917
Entity
Organization
Contact information
Practice address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 241-4917
(760) 241-8911
Mailing address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 241-4917
(760) 241-8911
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
360003HN
CA
Other
Enumeration date
02/05/2007
Last updated
12/04/2015
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