Organization
CASA ELENA RECOVERY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HERNANDEZ (CEO)
(916) 443-5473
Entity
Organization
Contact information
Practice address
832 S ANAHEIM BLVD, ANAHEIM, CA 92805-5201
(714) 772-5580
(714) 772-1685
Mailing address
832 S ANAHEIM BLVD, ANAHEIM, CA 92805-5201
(714) 772-5580
(714) 772-1685
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
10/06/2006
Last updated
07/21/2022
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