Organization
PRODUCTS FOR RECOVERY MANAGEMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC CUNNINGHAM (CFO)
(949) 835-0123
Entity
Organization
Contact information
Practice address
24482 CARACAS ST., DANA POINT, CA 92629-4167
(949) 835-0123
(657) 235-0178
Mailing address
23172 PLAZA POINTE DR., SUITE 100, LAGUNA, CA 92653-6136
(657) 235-0178
(657) 235-0178
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
A51101
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235407131
NPI
CA
Enumeration date
05/09/2015
Last updated
10/09/2018
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