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Organization
BETHEL O & A, INCORPORATED
Active
Organization
BETHEL O & A, INCORPORATED
Active
Other names
Divine Recovery Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FEMI ABATAN (VICE-PRESIDENT)
(714) 225-4762
Entity
Organization
Contact information
Practice address
285 S GILBERT ST, FULLERTON, CA 92833-2908
(714) 225-4762
(714) 930-9435
Mailing address
285 S GILBERT ST, FULLERTON, CA 92833-2908
(714) 225-4762
(714) 930-9435
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
CA
302R00000X
Health Maintenance Organization
Primary
—
CA
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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