Organization
BEWELL ORANGE COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE ZIMMERMAN (VP REVENUE CYCLE)
(217) 649-5309
Entity
Organization
Contact information
Practice address
31222 BELFORD DR, SAN JUAN CAPISTRANO, CA 92675-1833
(949) 529-5945
Mailing address
27130 PASEO ESPADA STE A1423, SAN JUAN CAPISTRANO, CA 92675-6712
(949) 529-5945
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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