NPI | 1053704569 |
---|---|
Doing Business As | LEAD RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | NANETTE ZUMWALT CEO/Owner 714-964-6730 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2015-03-08 |
Last Update Date | 2015-09-29 |