Organization
CONNOR RANCH TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA FOROUTAN (REIMBURSEMENT SPECIALIST)
(949) 412-2636
Entity
Organization
Contact information
Practice address
18021 NEWLAND STREET, HUNTINGTON BEACH, CA 92646
(714) 913-8276
(714) 536-2906
Mailing address
18021 NEWLAND ST, HUNTINGTON BEACH, CA 92646-1623
(714) 913-8276
(714) 536-2906
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300174AP
CA
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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