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Organization

CHEMICAL DEPENDENCY & PAIN RECOVERY OF CA, LLC

Active
Other names
Bay Recovery
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES REED (OPERATIONS MANAGER)
(858) 490-3460
Entity
Organization

Contact information

Practice address
4241 JUTLAND DR, SUITE 103, SAN DIEGO, CA 92117-3663
(858) 490-3460
(858) 490-3462
Mailing address
4241 JUTLAND DR, SUITE 103, SAN DIEGO, CA 92117-3663
(858) 490-3460
(858) 490-3462

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
370123BP
CA

Other

Enumeration date
01/28/2011
Last updated
01/28/2011
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