Organization
ANOTHER ROAD DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA MICHELLE FLORES CADTP/CAODC (DIRECTOR OF TREATMENT)
(805) 266-3747
Entity
Organization
Contact information
Practice address
113 SOUTH M STREET, LOMPOC, CA 93436
(805) 736-0357
(866) 929-9350
Mailing address
113 SOUTH M STREET, LOMPOC, CA 93436
(805) 736-0357
(866) 929-9350
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
12/10/2024
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