Individual
MIKE MORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
838 BEACH COURT, LOTUS, CA 95651
(530) 626-7252
Mailing address
1325 COBBLESTONE DR, LINCOLN, CA 95648-2425
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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