Organization
SHARP MED SPA INC.
Active
Other names
new voyage drug and alcohal rehabilitaion center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SALIMEH MIRMOTAHARI (CEO)
(310) 619-8850
Entity
Organization
Contact information
Practice address
6894 S ENSENADA ST, AURORA, CO 80016-1956
(303) 731-4353
Mailing address
1150 W CAPITOL DR UNIT 137, SAN PEDRO, CA 90732-2277
(310) 619-8850
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1634
CO
Other
Enumeration date
08/23/2008
Last updated
08/23/2008
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