Organization
DESERT BLOOM RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FORCEN (OWNER)
(888) 503-1503
Entity
Organization
Contact information
Practice address
14286 CALIFORNIA AVE STE 102, VICTORVILLE, CA 92392-2911
(888) 503-1503
Mailing address
13782 BEAR VALLEY RD STE D3, VICTORVILLE, CA 92392-8516
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
07/31/2024
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