Organization
JHERNDONS LLC
Active
Parent organization
JHERNDONS LLC
Other names
Addiction Therapeutic Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
JHERNDONS LLC
Authorized official
DR. RAY MONTELLA PHD (CLINICAL DIRECTOR)
(808) 283-0495
Entity
Organization
Contact information
Practice address
69730 HIGHWAY 111 STE 109, RANCHO MIRAGE, CA 92270-2873
(760) 835-1631
Mailing address
64223 DORAL DR, DESERT HOT SPRINGS, CA 92240-1143
(760) 774-1362
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
330114AP
CA
Other
Enumeration date
07/18/2016
Last updated
05/08/2017
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