Organization
ALPHA TREATMENT CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENESSA MARIE SARGENT (CEO)
(951) 369-5282
Entity
Organization
Contact information
Practice address
547 S CALIFORNIA AVE, WEST COVINA, CA 91790-3640
(626) 939-9100
Mailing address
5053 LA MART DR STE 107, RIVERSIDE, CA 92507-5993
(951) 316-4052
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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