Organization
SUCCESSFUL TREATMENTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORNA S PHAM PSYD (COMPLIANCE OFFICER)
(949) 237-0893
Entity
Organization
Contact information
Practice address
18 VIA ARMILLA, SAN CLEMENTE, CA 92673-7204
(949) 388-1953
Mailing address
3530 E LA PALMA AVE APT 324, ANAHEIM, CA 92806-2158
(714) 856-0620
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/03/2017
Last updated
05/03/2018
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