Organization
JOAN MERRILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY STILLS (PROGRAM DIRECTOR)
(714) 776-7490
Entity
Organization
Contact information
Practice address
707 N ANAHEIM BLVD, ANAHEIM, CA 92805-2652
(714) 776-7490
(714) 776-8650
Mailing address
707 N ANAHEIM BLVD, ANAHEIM, CA 92805-2652
(714) 776-7490
(714) 776-8650
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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