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Organization

1000 NEWBURY ROAD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAJAR MOUSSAOUI (MANAGER)
(562) 207-8820
Entity
Organization

Contact information

Practice address
1000 NEWBURY RD STE 205, NEWBURY PARK, CA 91320-6441
(562) 207-8820
Mailing address
1000 NEWBURY RD STE 205, NEWBURY PARK, CA 91320-6441

Taxonomy

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

Other

Enumeration date
05/05/2023
Last updated
05/05/2023
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