Healthcare Provider Details

I. General information

NPI: 1942164264
Provider Name (Legal Business Name): 3 E DRUGS AND ALCOHOL ABUSE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8914 WHIRLAWAY CT
RANCHO CUCAMONGA CA
91737-1417
US

IV. Provider business mailing address

8914 WHIRLAWAY CT
RANCHO CUCAMONGA CA
91737-1417
US

V. Phone/Fax

Practice location:
  • Phone: 310-775-3611
  • Fax:
Mailing address:
  • Phone: 310-775-3611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: STANLEY MWAURA
Title or Position: CEO
Credential:
Phone: 310-775-3611