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POMONA ALCOHOL & DRUG RECOVERY CENTER NPI 1184992828


NPI Information

NPI: 1184992828
Provider Name: POMONA ALCOHOL & DRUG RECOVERY CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1151 FAIRPLEX DR
POMONA, CA
ZIP 91768
Phone: (909) 622-2273
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POMONA ALCOHOL & DRUG RECOVERY CENTER is a substance abuse rehabilitation facility in Pomona, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. POMONA ALCOHOL & DRUG RECOVERY CENTER NPI is 1184992828. The provider is registered as an organization entity type.

The provider's business location address is:

1151 FAIRPLEX DR
POMONA, CA
ZIP 91768-247
Phone: (909) 622-2273

The provider's authorized official is Tim Ejindu .
The authorized official title is Director and has the following contact phone number (909) 622-2273.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 12/8/2011.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/14/2023

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