My Brother's Keeper
NPI #1144550971 in Chino, California
Provider Information
- NPI Number
- 1144550971
- Entity Type
- Organization
- Organization Name
- My Brother's Keeper
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Dec 29, 2009
- Last Updated
- Dec 29, 2009
Practice Location
- Address
- 5511 RIVERSIDE DR
- City
- Chino
- State
- California
- ZIP Code
- 91710-4302
- Phone
- (909) 464-0400
Authorized Official
- Name
- TANISHA WILLIAMS
- Title
- CFO/ DIRECTOR OF ADMINISTRATION
- Phone
- (909) 464-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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