Organization
MAGNOLIA 9 LLC
Active
Other names
Magnolia 9
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SEWELL MS (CEO)
(402) 250-8989
Entity
Organization
Contact information
Practice address
12431 9TH ST, GARDEN GROVE, CA 92840-3538
(402) 250-8989
Mailing address
151 KALMUS DR STE A203, COSTA MESA, CA 92626-5999
(402) 250-8989
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/26/2024
Last updated
11/12/2024
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