Organization
DAMASCUS ROAD, LLC
Active
Other names
Bridges To Life Detox
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SMITH (OFFICE COORDINATOR)
(559) 601-6065
Entity
Organization
Contact information
Practice address
1313 N BROOKHURST ST, ANAHEIM, CA 92801-1646
(559) 601-6065
Mailing address
PO BOX 2496, FULLERTON, CA 92837-0496
(559) 601-6065
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300656AP
CA
Other
Enumeration date
08/08/2016
Last updated
07/21/2022
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