Organization
PRIVATE SOLUTION DETOX CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIO ANGULO (PROGRAM DIRECTOR)
(833) 773-3869
Entity
Organization
Contact information
Practice address
72301 COUNTRY CLUB DR STE 109, RANCHO MIRAGE, CA 92270-8007
(833) 773-3869
(760) 895-4497
Mailing address
72301 COUNTRY CLUB DR STE 200, RANCHO MIRAGE, CA 92270-8007
(833) 773-3869
(760) 895-4497
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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