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POMONA ALCOHOL & DRUG RECOVERY CENTER NPI 1467727461


NPI Information

NPI: 1467727461
Provider Name: POMONA ALCOHOL & DRUG RECOVERY CENTER
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
321 W LEXINGTON AVE
POMONA, CA
ZIP 91766
Phone: (909) 622-2273
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POMONA ALCOHOL & DRUG RECOVERY CENTER is an adolescent and children mental health clinic center in Pomona, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. POMONA ALCOHOL & DRUG RECOVERY CENTER NPI is 1467727461. The provider is registered as an organization entity type.

The provider's business location address is:

321 W LEXINGTON AVE
POMONA, CA
ZIP 91766-254
Phone: (909) 622-2273

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

The enumeration date for this NPI number is 3/9/2012 and was last updated on 3/9/2012.


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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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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