Organization
ADDICTION THERAPY PC
Active
Other names
Addiction Medicine Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DATSON HERNDON PA-C (PRESIDENT)
(206) 852-8815
Entity
Organization
Contact information
Practice address
559 S PALM CANYON DR STE 207, PALM SPRINGS, CA 92264-7468
(951) 852-6284
Mailing address
559 S PALM CANYON DR STE 207, PALM SPRINGS, CA 92264-7468
(951) 852-6284
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
16694
CA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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