POMONA ALCOHOL & DRUG RECOVERY CENTER (NPI# 1467727461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467727461 |
| Entity Type | Organization |
| Organization Name | POMONA ALCOHOL & DRUG RECOVERY CENTER |
| Practice Address |
321 W Lexington Ave Pomona CA 91766-5254 |
| Mailing Address |
558 N Towne Ave Pomona CA 91767-4826 |
| Practice Telephone | 9096222273 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | MR. TIM EJINDU (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9096222273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184992828 | Pomona Alcohol & Drug Recovery Center | Substance Abuse Rehabilitation Facility | 1151 Fairplex Dr, Pomona, CA 91768-1247 | 2011-12-08 |
| 1710255450 | Pomona Alcohol & Drug Recovery Center | Substance Abuse Rehabilitation Facility | 725 W Franklin Ave, Pomona, CA 91766-5168 | 2011-12-08 |
| 1639476484 | Pomona Alcohol & Drug Recovery Center | Community/Behavioral Health | 475 Bangor St, Pomona, CA 91767-2443 | 2011-02-14 |
| 1285931030 | Pomona Alcohol & Drug Recovery Center | Community/Behavioral Health | 635 Lincoln Ave, Pomona, CA 91767-4041 | 2011-02-14 |
| 1801192844 | Pomona Alcohol & Drug Recovery Center | Community/Behavioral Health | 1540 W 2nd St, Pomona, CA 91766-1203 | 2011-02-09 |
| 1073819017 | Pomona Alcohol & Drug Recovery Center | Community/Behavioral Health | 1921 Arroyo Ave, Pomona, CA 91768-2018 | 2011-02-09 |
| 1063778595 | Pomona Alcohol & Drug Recovery Center | Clinic/Center | 605 N Park Ave, Pomona, CA 91768-3622 | 2012-04-10 |
| 1548531064 | Pomona Alcohol & Drug Recovery Center | Clinic/Center | 558 N Towne Ave, Pomona, CA 91767-4826 | 2012-01-13 |
| Street Address |
321 W LEXINGTON AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91766-5254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780991810 | Open Arms Mens Center | Counselor | 321 W Lexington Ave, Pomona, CA 91766-5254 | 2010-09-10 |
| 1508200486 | Medi-cure Health Services, Inc | Counselor | 321 W Lexington Ave, Pomona, CA 91766-5254 | 2013-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
| 1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
| Find all providers in zip 91766 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920769 | Eggleston Youth Centers, Inc. | Clinic/Center | 790 E La Verne Ave, Pomona, CA 91767-2814 | 2018-11-05 |
| 1710424981 | Eggleston Youth Centers, Inc. | Clinic/Center | 889 Diana Ave, Pomona, CA 91766-6216 | 2017-01-26 |
| 1689111809 | Eggleston Youth Centers, Inc. | Clinic/Center | 215 W La Verne Ave, Pomona, CA 91767-2333 | 2017-01-25 |
| 1801364047 | Eggleston Youth Centers, Inc. | Clinic/Center | 790 E La Verne Ave, Pomona, CA 91767-2814 | 2018-11-06 |
| 1063778595 | Pomona Alcohol & Drug Recovery Center | Clinic/Center | 605 N Park Ave, Pomona, CA 91768-3622 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on POMONA ALCOHOL & DRUG RECOVERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.