Organization
SANCTUARY OF ART AND HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN M DELAGRANGE LMT (CEO)
(260) 444-1159
Entity
Organization
Contact information
Practice address
945 HORNBLEND ST STE C, SAN DIEGO, CA 92109-4057
(858) 299-2289
Mailing address
945 HORNBLEND ST STE C, SAN DIEGO, CA 92109-4057
(858) 299-2289
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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