Provider Demographics
NPI:1942431788
Name:TREATMENT & DEVELOPMENT, INC.
Entity Type:Organization
Organization Name:TREATMENT & DEVELOPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, JD
Authorized Official - Phone:714-454-1255
Mailing Address - Street 1:6028 KOA DR
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92377-4036
Mailing Address - Country:US
Mailing Address - Phone:714-454-1255
Mailing Address - Fax:949-545-6874
Practice Address - Street 1:902 N LINDEN AVE
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-3804
Practice Address - Country:US
Practice Address - Phone:909-429-4418
Practice Address - Fax:909-429-4418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA366413139320600000X
CA366408869320600000X
CA366406349320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities