# MORONGO BASIN ARCH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Morongo Basin ARCH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649963125
- **Authorized official:** ASTRID NICOLEEN JOHNSON MA (PRESIDENT)
- **Authorized official phone:** (760) 861-6433

## Contact information

- **Practice address:** 6562 SIERRA AVE, JOSHUA TREE, CA 92252
- **Practice address phone:** (760) 992-1743
- **Mailing address:** 6336 HALLEE RD, JOSHUA TREE, CA 92252-1909
- **Mailing address phone:** (760) 861-6433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2023
- **Last updated:** 05/31/2023