Organization
TOUCHSTONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CLOE CARRASCO CAADE (ADMINISTRATIVE ASSISTANT)
(714) 639-5546
Entity
Organization
Contact information
Practice address
525 N PARKER ST, ORANGE, CA 92868-1323
(714) 639-5546
(714) 639-5037
Mailing address
525 N PARKER ST, ORANGE, CA 92868-1323
(714) 639-5546
(714) 639-5037
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
12139-R
CA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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