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BRANDON J INC/SERENITY PLACE NPI 1073703898


NPI Information

NPI: 1073703898
Provider Name: BRANDON J INC/SERENITY PLACE

Other Name: ACTS FOR CHILDREN

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
128 E. G ST STE #111
COLTON, CA
ZIP 92324
Phone: (909) 433-0330
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BRANDON J INC/SERENITY PLACE is a substance abuse treatment and children substance abuse rehabilitation facility in Colton, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. BRANDON J INC/SERENITY PLACE NPI is 1073703898. The provider is registered as an organization entity type.
The provider Other Name Is Acts For Children.

The provider's business location address is:

128 E. G ST STE #111
COLTON, CA
ZIP 92324
Phone: (909) 433-0330
Fax: (909) 433-0399

The provider's authorized official is Lourdes A Lefevre .
The authorized official title is Executive Director and has the following contact phone number (909) 433-0330.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 7/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children368607CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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