Organization
STJ LP
Active
Other names
SORRENTO IN THE DESERT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA STERIN (ADMINISTRATOR)
(818) 486-2273
Entity
Organization
Contact information
Practice address
3833 E AVENUE R12, PALMDALE, CA 93550-2500
(661) 382-1444
Mailing address
13959 LA MAIDA ST, SHERMAN OAKS, CA 91423-1906
(818) 486-2273
(818) 907-8420
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
550002103
CA
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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