Organization
BLUE TIGER RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY L GATEWOOD L.C.S.W. (CEO)
(323) 217-8600
Entity
Organization
Contact information
Practice address
73555 ALESSANDRO DR, PALM DESERT, CA 92260-3635
(760) 534-3487
(442) 334-7901
Mailing address
PO BOX 14252, PALM DESERT, CA 92255-4252
(760) 534-3487
(442) 334-7901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29305
CA
Other
Enumeration date
05/06/2014
Last updated
06/30/2022
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