Organization
FIRST HOUSE DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD GORMAN (OWNER)
(949) 515-6278
Entity
Organization
Contact information
Practice address
1048 IRVINE AVE # 443, NEWPORT BEACH, CA 92660-4602
(949) 515-2360
(949) 515-6278
Mailing address
1048 IRVINE AVE # 443, NEWPORT BEACH, CA 92660-4602
(949) 515-2360
(949) 515-6278
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
G82171
CA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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