Organization
CHRISTIAN R SMALL MD A PROFESSIONAL CORPORATION
Active
Other names
Headlands Addiction Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN R SMALL (OWNER)
(760) 704-9429
Entity
Organization
Contact information
Practice address
215 S HICKORY ST STE 114, ESCONDIDO, CA 92025-4360
(760) 704-9429
Mailing address
215 S HICKORY ST STE 114, ESCONDIDO, CA 92025-4360
(760) 704-9429
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
05/26/2022
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