Organization
HALO HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MARTINEZ (PROGRAM DIRECTOR)
(949) 548-1112
Entity
Organization
Contact information
Practice address
2421 TUSTIN AVE, COSTA MESA, CA 92627-1435
(949) 548-1112
Mailing address
620 NEWPORT CENTER DR STE 1100, NEWPORT BEACH, CA 92660-8011
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300629AP
CA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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