Individual
CHRISTY DEMETRIADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2355 COLGATE DR, COSTA MESA, CA 92626-6305
(714) 850-9319
Mailing address
2355 COLGATE DR, COSTA MESA, CA 92626-6305
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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