Organization
EPIDAURUS
Active
Other names
Amity Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA MELLIZO (DIRECTOR OF GRANT DEVELOPMENT)
(970) 889-2351
Entity
Organization
Contact information
Practice address
2260 WATSON WAY, VISTA, CA 92083-7924
(760) 559-1802
Mailing address
1312 HASTINGS DR, FORT COLLINS, CO 80526-2453
(970) 889-2351
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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