Organization
DOMUS RETREAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARE WAISMANN (MANAGER)
(310) 205-0808
Entity
Organization
Contact information
Practice address
270 S ORANGE ACRES DR, ANAHEIM, CA 92807-3617
(310) 246-1323
Mailing address
250 N ROBERTSON BLVD, SUITE 419, BEVERLY HILLS, CA 90211-1788
(310) 246-1323
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300203AP
CA
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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