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Organization

HOWER LODGE, INC.

Active
Other names
Hope Lodge
Organization subpart
No

Provider details

NPI number
Authorized official
PETER GATES (CCO)
(949) 701-1959
Entity
Organization

Contact information

Practice address
930 MAGELLAN ST, COSTA MESA, CA 92626-5838
(949) 701-1959
(949) 258-5510
Mailing address
33171 PASEO CERVEZA, SAN JUAN CAPISTRANO, CA 92675-4824
(949) 701-1959
(949) 258-5510

Taxonomy

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

Other

Enumeration date
11/01/2023
Last updated
11/01/2023
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