Organization
AMERICAN ADDICTION INSTITUTE OF MIND AND MEDICINE
Active
Other names
California Addiction Institute of Mind and Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
FARIED BANIMAHD MD (CEO)
(949) 347-8721
Entity
Organization
Contact information
Practice address
1533 E 4TH ST, SANTA ANA, CA 92701-5115
(800) 779-4715
(949) 347-8709
Mailing address
1835 NEWPORT BLVD. A109-559, COSTA MESA, CALIFORNIA, CA 92627
(949) 929-6203
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A100516
CA
Other
Enumeration date
09/01/2016
Last updated
02/19/2020
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