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Organization
PALM SPRINGS RECOVERY TREATMENT CENTER
Active
Organization
PALM SPRINGS RECOVERY TREATMENT CENTER
Active
Other names
Mind and Body Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM MARIYA NIKOGOSYAN MA HUMAN SERVICES (PROGRAM DIRECTOR)
(818) 441-1049
Entity
Organization
Contact information
Practice address
45650 WILLIAMS RD, INDIAN WELLS, CA 92210-8474
(818) 441-1049
Mailing address
45650 WILLIAMS RD, INDIAN WELLS, CA 92210-8474
(818) 441-1049
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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