Organization
COOPER FELLOWSHIP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD BARNES (PROGRAM DIRECTOR)
(714) 554-1152
Entity
Organization
Contact information
Practice address
409 N COOPER ST, SANTA ANA, CA 92703-2409
(714) 554-1152
Mailing address
409 N COOPER ST, SANTA ANA, CA 92703-2409
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300029AN
CA
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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