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Organization

KEY 2 BALANCE LLC

Active
Other names
Wellminded
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE LAVIGNE CADCII (FOUNDER/PROGRAM DIRECTOR)
(949) 521-6890
Entity
Organization

Contact information

Practice address
16 TECHNOLOGY, SUITE 173, IRVINE, CA 92618-2725
(949) 521-6890
Mailing address
16 TECHNOLOGY DR, SUITE 173, IRVINE, CA 92618-2355
(949) 521-6890

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
A7131111
CA

Other

Enumeration date
07/02/2012
Last updated
09/12/2013
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