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Organization

SUN RAY ADDICTIONS COUNSELING & ED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYLEEN P HUGHES LAADC (EX DIRECTOR)
(951) 652-3560
Entity
Organization

Contact information

Practice address
950 N STATE ST STE D, HEMET, CA 92543-1485
(951) 652-3560
(951) 929-2780
Mailing address
950 N STATE ST STE D, HEMET, CA 92543-1485
(951) 652-3560
(951) 929-2780

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
333901
CA
05
333903
CA
Enumeration date
12/06/2013
Last updated
12/06/2013
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