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Organization

PUR DETOX INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HOLLAND BINFORD (INSURANCE OFFICER)
(888) 853-3869
Entity
Organization

Contact information

Practice address
25071 ALICIA DR, DANA POINT, CA 92629-2413
(888) 803-3869
Mailing address
751 S RIDGEVIEW RD, ANAHEIM, CA 92807-4810

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300198AP
CA

Other

Enumeration date
01/27/2010
Last updated
10/03/2012
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