Whalio Doctors

NPI 1033311881

Veterans Alcohol Rehabilitation Program

Organisation Substance Abuse Rehabilitation Facility San Bernardino, CA

Practice location

Address
1100 N D St, San Bernardino, CA 92410-3524
Phone
(909) 381-3774
Fax
(909) 381-6845

Authorised official

Name
Shelly Mattazaro
Title
Executive Director
Phone
(909) 381-3774

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 360004BN (CA)

Registry record

NPI
1033311881
Entity type
Organization
NPI issued
4 Jun 2007
Record last updated
12 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.