Organization
CALIFORNIA HISPANIC COMMISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD DAVID LEE JR. RAS/ CDAAC (HOUSE MANAGER)
(714) 531-4624
Entity
Organization
Contact information
Practice address
9842 13TH ST STE B, GARDEN GROVE, CA 92844-3171
(714) 531-4624
(714) 531-1189
Mailing address
9842 13TH ST STE B, GARDEN GROVE, CA 92844-3171
(714) 531-4624
(714) 531-1189
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300010AN
CA
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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