Organization
AHORA WELLNESS CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY HOYT PH.D. (OWNER)
(619) 203-5336
Entity
Organization
Contact information
Practice address
537 MAIN ST, BRAWLEY, CA 92227-2423
(760) 344-9000
(760) 344-9002
Mailing address
302 WASHINGTON ST # 754, SAN DIEGO, CA 92103-2110
(619) 203-5336
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/05/2018
Last updated
12/06/2018
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