Organization
TRUST SOCAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MATTHEW AVDEE (COMPLIANCE DIRECTOR)
(949) 412-4477
Entity
Organization
Contact information
Practice address
16537 ELM CIR, FOUNTAIN VALLEY, CA 92708-2214
(949) 280-8360
Mailing address
16537 ELM CIR, FOUNTAIN VALLEY, CA 92708-2214
(949) 280-8360
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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