Organization
IMPERIAL VALLEY DRUG & REHAB CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUADALUPE SANCHEZ (ADMINISTRATIVE ASSISTANT)
(760) 312-9817
Entity
Organization
Contact information
Practice address
1600 S IMPERIAL AVE STE 7, EL CENTRO, CA 92243-4242
(760) 312-9817
(760) 312-9824
Mailing address
1600 S IMPERIAL AVE STE 7, EL CENTRO, CA 92243-4242
(760) 312-9817
(760) 312-9824
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
10/23/2013
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