Organization
REFUGE TREATMENT CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN LOREN INGRAM (OWNER)
(909) 337-4224
Entity
Organization
Contact information
Practice address
1366 YELLOWSTONE DR., LAKE ARROWHEAD, CA 92352-1238
(909) 337-4224
(909) 336-7357
Mailing address
PO BOX 1238, LAKE ARROWHEAD, CA 92352-1238
(909) 337-4224
(909) 336-7357
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
CA
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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