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Organization

ABLW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID MUNCE (MEMBER)
(714) 316-4630
Entity
Organization

Contact information

Practice address
27126 PASEO ESPADA, SUITE 1627, SAN JUAN CAPISTRANO, CA 92675-2721
(949) 313-7443
Mailing address
29421 SPOTTED BULL WAY, SAN JUAN CAPISTRANO, CA 92675-1033

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
201534310060
CA

Other

Enumeration date
06/06/2016
Last updated
06/06/2016
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