St. Joseph-Christopher Aquinas Detox Center

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ST. JOSEPH-CHRISTOPHER AQUINAS DETOX CENTER

Doing business as

St. Christopher-Joseph Aquinas Sober Living Residence

Practice address

2200 Los Flores Street
Pomona, CA 91767

Phone

(909) 242-6697

NPI assigned

Sep 23, 2015

Last updated

Nov 12, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Christopher A. Walker, BA

Title

Cfo/Director

Phone

(909) 242-6697

Specialties & licenses 1

Addresses

Other names 1

• St. Christopher-Joseph Aquinas Sober Living Residence Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1427427269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LOS FLORES ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672632",
            "telephone_number": "909-242-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LOS FLORES STREET",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-242-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH-CHRISTOPHER AQUINAS DETOX CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO/DIRECTOR",
        "authorized_official_telephone_number": "909-242-6697",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Christopher-Joseph Aquinas Sober Living Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ananta Srivastava
• St John Community Health Center
• St Moises Dental
• Tyler Scot St. Clair
• St. Joseph Health System Home Care Services LLC (Providence Home Health Inland Empire)
• St. Luke University
• Kristian Paolo Roxas Sta Ana, RPH
• Lisa L Stahr, NP
• Garett Staley, LCSW
• Priscila Stanfield, LVN

• Mental Illness Community Based Residential Treatment Facility in Pomona, CA
• Providers in Pomona, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.