Organization
FOOTPRINTS IN THE SAND 2 RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH CACHU (PROGRAM DIRECTOR)
(657) 651-9359
Entity
Organization
Contact information
Practice address
653 W 19TH ST, COSTA MESA, CA 92627-2715
(657) 651-9359
(323) 544-2789
Mailing address
653 W 19TH ST, COSTA MESA, CA 92627-2715
(657) 651-9359
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
03/15/2024
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