Organization
BAY HORSE RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLE ANNE HARRIS LCSW, PSYD (MANAGER)
(949) 887-1612
Entity
Organization
Contact information
Practice address
29008 ORANGE BLOSSOM CT, LAKE ELSINORE, CA 92530-1758
(949) 887-1612
(714) 842-7774
Mailing address
28475 MOUNTAIN ST, LAKE ELSINORE, CA 92530-1714
(949) 887-1612
(714) 842-7774
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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