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Organization

CASA BELLA RECOVERY CENTER, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SAN JUANA VIVIANA MARTINEZ MS, LCDC, QMHP (CHIEF EXECUTIVE OFFICER)
(956) 774-7900
Entity
Organization

Contact information

Practice address
5601 PADRE BLVD, SOUTH PADRE ISLAND, TX 78597-7450
(956) 774-7900
Mailing address
5601 PADRE BLVD, SOUTH PADRE ISLAND, TX 78597-7450
(956) 774-7900

Taxonomy

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

Other

Enumeration date
11/27/2013
Last updated
11/27/2013
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