Organization
IMMERSIVE WELLNESS CENTERS, LLC
Active
Other names
Immersive Wellness Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MCMAHON EDD (COO)
(619) 871-7345
Entity
Organization
Contact information
Practice address
120 CRISTIANITOS ROAD, UNIT 14207, SAN CLEMENTE, CA 92673
(619) 871-7345
Mailing address
34145 PACIFIC COAST HWY # 728, DANA POINT, CA 92629-2808
(619) 871-7345
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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