NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST S NPI 1447615539

NPI Information

  • NPI: 1447615539
  • Provider Name: NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST S
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: NCADD OF ESG & PV
  • Address: 656 N PARK AVE
    POMONA, CA
    ZIP 91768
  • Phone: (909) 629-4084

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NPI Details

NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST S is an addiction (substance use disorder) counselor in Pomona, CA. NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST S NPI is 1447615539. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ncadd Of Esg & Pv.

The provider's business location address is:

656 N PARK AVE
POMONA, CA
ZIP 91768-679
Phone: (909) 629-4084
Fax: (909) 629-4086

The provider's authorized official is Cheryl Ann Ruedi .
The authorized official title is Executive Director and has the following contact phone number (626) 331-5316.

The enumeration date for this NPI number is 12/16/2015 and was last updated on 12/16/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)190241BNCALIFORNIAYes

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This page was last updated on: 3/30/2025

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