Organization
ZEN MOUNTAIN PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN CARVER (CEO)
(312) 617-8411
Entity
Organization
Contact information
Practice address
9 JETTY DR, CORONA DEL MAR, CA 92625-1425
(800) 759-1930
Mailing address
9 JETTY DR, CORONA DEL MAR, CA 92625-1425
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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