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Organization

SURF CITY SOLUTIONS LLC

Active
Parent organization
SURF CITY SOLUTIONS LLC
Other names
Creo Spero
Organization subpart
Yes

Provider details

NPI number
Legal business name
SURF CITY SOLUTIONS LLC
Authorized official
MICHAEL RICHARD PRIESING (OWNER)
(657) 342-0265
Entity
Organization

Contact information

Practice address
2414 S FAIRVIEW ST STE 215, SANTA ANA, CA 92704-5318
(657) 342-0265
(714) 398-8822
Mailing address
2414 S FAIRVIEW ST STE 215, SANTA ANA, CA 92704-5318
(657) 342-0265
(714) 398-8822

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300035AP
DHCS
CA
Enumeration date
10/09/2019
Last updated
10/09/2019
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