Organization
RESTORE DETOX CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FRANCISCO HERNANDEZ CA LMFT (CMO)
(949) 813-5161
Entity
Organization
Contact information
Practice address
14099 SKY MOUNTAIN TRAIL, POWAY, CA 92064
(949) 813-5161
Mailing address
14099 SKY MOUNTAIN TRAIL, POWAY, CA 92064
(949) 813-5161
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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