Organization
STILL WATER WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LAMATTINA (MANAGER)
(949) 506-6983
Entity
Organization
Contact information
Practice address
24101 BIG TIMBER ST, LAKE FOREST, CA 92630-2920
(603) 966-8389
Mailing address
34145 PACIFIC COAST HWY # 818, DANA POINT, CA 92629-2808
(603) 966-8389
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
03/08/2023
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