Organization
BONDAGE BREAKER RECOVERY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS DEWAYNE HEGGIE CAS (EXECUTIVE DIRECTOR)
(530) 529-0634
Entity
Organization
Contact information
Practice address
224 ASH ST, RED BLUFF, CA 96080-3804
(530) 529-0634
(530) 529-0650
Mailing address
PO BOX 8652, RED BLUFF, CA 96080-8652
(530) 529-0634
(530) 529-0650
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
520003AN
CA
Other
Enumeration date
05/20/2007
Last updated
08/22/2020
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