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Organization
COLDWATER SPRINGS HEALTHCARE, INC.
Active
Organization
COLDWATER SPRINGS HEALTHCARE, INC.
Active
Other names
Estrella Outpatient Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
350 E LA CANADA BLVD, AVONDALE, AZ 85323-1643
(623) 932-2282
Mailing address
350 E LA CANADA BLVD, AVONDALE, AZ 85323-1643
(623) 932-2282
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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