Organization
WOODGLEN WEST DETOX
Active
Parent organization
WOODGLEN RECOVERY JUNCTION, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODGLEN RECOVERY JUNCTION, INC.
Authorized official
WALTER P ERICKSON (PROGRAM DIRECTOR)
(714) 578-2962
Entity
Organization
Contact information
Practice address
1401 W ORANGETHORPE AVE, FULLERTON, CA 92833-4632
(714) 869-3270
Mailing address
771 W ORANGETHORPE AVE, FULLERTON, CA 92832-2806
(714) 879-0929
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300042DN
CA
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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