Organization
IXDM INC.
Active
Other names
Ohana Palms Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE CAMERON PEARCE (ADMINISTRATOR)
(949) 400-7317
Entity
Organization
Contact information
Practice address
27301 WESTRIDGE LN., LAGUNA HILLS, CA 92653
(949) 349-0234
Mailing address
33591 VIA DE AGUA, SAN JUAN CAPISTRANO, CA 92675
(949) 362-3699
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
300216AP
CA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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