Organization
ADOLESCENT ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARHAN QURESHI (VP OF OPERATIONS)
(951) 698-7612
Entity
Organization
Contact information
Practice address
29970 TECHNOLOGY DR STE 117G, MURRIETA, CA 92563-2647
(951) 698-7612
Mailing address
PO BOX 1033, MURRIETA, CA 92564-1033
(951) 698-7612
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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