Organization · Type 2 NPI
Brandon J Inc/serenity Place
Children's Substance Abuse Rehabilitation Facility · Colton, CA
Practice location
128 E. G St Ste #111
Colton, CA 92324
Fax (909) 433-0399
Mailing address
128 E G St Ste 111, 140 W. D St
Colton, CA 92324-2943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | 368607 (CA) |
Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility 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.
About NPI 1073703898
Brandon J Inc/serenity Place's National Provider Identifier is 1073703898, issued on Jul 27, 2007. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Colton, CA. The record was last updated on Jul 27, 2007.