Organization
REBEL NEW LIFE TREATMENT CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA PEREZ (CFO)
(714) 507-6867
Entity
Organization
Contact information
Practice address
2309 E SYCAMORE ST, ANAHEIM, CA 92806-3020
(714) 507-6867
Mailing address
2309 E SYCAMORE ST, ANAHEIM, CA 92806-3020
(714) 507-6867
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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