Pat Moore Detox, Llc

NPI 1245657873 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1245657873
Enumeration Date 03/20/2014
Last Updated 03/20/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name AREL AREL
Position OWNER
Phone (949) 646-2830
Fax (949) 646-3028
Practice Location
536 HAMILTON ST
UNITS A, B AND C
COSTA MESA CA, 92627-2617, US
Phone (949) 646-2830
Fax (949) 646-3028
Business Location
536 HAMILTON ST
UNITS A, B AND C
COSTA MESA CA, 92627-2617, US
Phone (949) 646-2830
Fax (949) 646-3028
Toxanomy
Taxonomy Code 324500000X
License State California
License Number 300274AP
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According to our database, Pat Moore Detox, Llc NPI is 1245657873, taxonomy code is 324500000X and license number is 300274AP, license state is located at California. Pat Moore Detox, Llc physically located at 536 Hamilton St, Costa Mesa CA, 92627-2617. NPI Number 1033115704 has the healthcare provider type.

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1245657873 NPI number is provided on an as is basis without warranty of any kind. 1245657873 is maintained by the National Plan & Provider Enumeration System. The contents of Pat Moore Detox, Llc are for informational purposes only.