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Organization

PACIFIC SANDS RECOVERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL HOLLENBECK (CEO)
(844) 568-7328
Entity
Organization

Contact information

Practice address
1909 W CARLTON PL, SANTA ANA, CA 92704-4206
(844) 568-7328
Mailing address
PO BOX 580, SPRING HILL, TN 37174-0580

Taxonomy

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

Other

Enumeration date
03/08/2021
Last updated
12/11/2023
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