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Organization

DESIGN FOR CHANGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH HUNTER (CHIEF EXECUTIVE OFFICER)
(818) 489-3779
Entity
Organization

Contact information

Practice address
1066 E AVENUE J, LANCASTER, CA 93535-3870
(661) 942-1026
(661) 949-8131
Mailing address
1066 E AVENUE J, LANCASTER, CA 93535-3870
(661) 942-1026
(661) 939-8131

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
12/02/2013
Last updated
12/02/2013
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