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Organization

SAN DIEGO DETOX

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON MONROE (CHIEF OPERATING OFFICER)
(602) 550-2211
Entity
Organization

Contact information

Practice address
9480 PATS POINT DR, CORONA, CA 92883-5014
(951) 319-7995
Mailing address
PO BOX 51310, LOS ANGELES, CA 90051-5610
(855) 277-5363

Taxonomy

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

Other

Enumeration date
09/14/2016
Last updated
07/28/2017
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