Provider Type Icon

POMONA ALCOHOL & DRUG RECOVERY CENTER NPI 1548531064


NPI Information

NPI: 1548531064
Provider Name: POMONA ALCOHOL & DRUG RECOVERY CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
558 N TOWNE AVE
POMONA, CA
ZIP 91767
Phone: (909) 622-2273
Get Directions

POMONA ALCOHOL & DRUG RECOVERY CENTER is a rehabilitation and substance use disorder clinic center in Pomona, CA. POMONA ALCOHOL & DRUG RECOVERY CENTER NPI is 1548531064. The provider is registered as an organization entity type.

The provider's business location address is:

558 N TOWNE AVE
POMONA, CA
ZIP 91767-826
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 1/13/2012 and was last updated on 1/13/2012.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.