Organization
PAIN RECOVERY MEDICAL GROUP, INC
Active
Other names
Headrick Integrative Healing
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE FULLER (BUSINESS MANAGER)
(562) 308-0461
Entity
Organization
Contact information
Practice address
34085 PACIFIC COAST HWY, #203, DANA POINT, CA 92629-2764
(714) 377-3749
(714) 377-5642
Mailing address
PO BOX 6747, HUNTINGTON BEACH, CA 92615-6747
(714) 377-3749
(714) 377-5642
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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