Organization
HEALING WATERS RECOVERY PALM DR, LLC
Active
Parent organization
HEALING WATERS RECOVERY DHS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALING WATERS RECOVERY DHS, LLC
Authorized official
MRS. DARLENE MARIE LEON (PRESIDENT)
(772) 233-0677
Entity
Organization
Contact information
Practice address
19069 VAN BUREN BLVD, 114 116, RIVERSIDE, CA 92508-9169
(772) 233-0677
Mailing address
11220 PALM DR, DESERT HOT SPRINGS, CA 92240-3163
(760) 676-9564
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
201617610562
CA
Other
Enumeration date
10/09/2016
Last updated
10/09/2016
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