Organization
PAT MOORE DETOX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AREL MEISTER - ALDAMA (BOARD DIRECTOR)
(714) 546-2200
Entity
Organization
Contact information
Practice address
536 HAMILTON ST, UNITS A,B,C, COSTA MESA, CA 92627-2617
(714) 546-2200
Mailing address
536 HAMILTON ST, UNITS A,B,C, COSTA MESA, CA 92627-2617
(714) 546-2200
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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