Organization
ACADIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLA F JREISAT (CLINICAL SUPERVISOR)
(562) 241-8669
Entity
Organization
Contact information
Practice address
2101 E 1ST ST, SANTA ANA, CA 92705-4007
(714) 542-3581
Mailing address
2101 E 1ST ST, SANTA ANA, CA 92705-4007
(714) 542-3581
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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