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Organization

HIDEAWAY RECOVERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY DURNFORD (CEO)
(760) 641-0316
Entity
Organization

Contact information

Practice address
68910 CONCEPCION RD, CATHEDRAL CITY, CA 92234-3854
(760) 641-0316
Mailing address
68910 CONCEPCION RD, CATHEDRAL CITY, CA 92234-3854

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
03/30/2023
Last updated
03/30/2023
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