Organization
SAN DIEGO DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MONROE (COO)
(602) 550-2211
Entity
Organization
Contact information
Practice address
9440 PATS POINT DR, CORONA, CA 92883-5014
(951) 319-7995
Mailing address
PO BOX 51310, LOS ANGELES, CA 90051-5610
(855) 277-5363
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
07/28/2017
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