Organization
COLDWATER SPRINGS HEALTHCARE, INC.
Active
Other names
Estrella Outpatient Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
350 E LA CANADA BLVD, AVONDALE, AZ 85323-1643
(623) 932-2282
Mailing address
350 E LA CANADA BLVD, AVONDALE, AZ 85323-1643
(623) 932-2282
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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