Organization
SECOND2NONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANE KATHRYN DUDEK CADC-II, ICADC (CLINICAL DIRECTOR)
(951) 461-1800
Entity
Organization
Contact information
Practice address
32619 VIA PERALES, TEMECULA, CA 92592-8148
(951) 587-1073
Mailing address
32619 VIA PERALES, TEMECULA, CA 92592-8148
(951) 587-1073
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1202970615
CA
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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