PHYSICIAN NUTRACEUTICAL RESEARCH, INC

SAN CLEMENTE, CA
NPI1154627925
Doing Business AsDR. WILLA'S HOUSE
Entity TypeOrganization
Authorized ContactWILLA ANN LILLY
Executive Director
888-508-3371
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: CA  300189AP)
Additional Taxonomies324500000X Substance Abuse Rehabilitation Facility
(Licence: CA  300189BP)
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA  300189CP)
Enumeration Date2011-01-26
Last Update Date2011-01-26
Business Address
PHYSICIAN NUTRACEUTICAL RESEARCH, INC
140 AVENIDA ALGODON #A, B & C
SAN CLEMENTE, CA 92672-4182
Phone number: 888-508-3371
Mailing Address
PHYSICIAN NUTRACEUTICAL RESEARCH, INC
140 AVENIDA ALGODON #A, B & C
SAN CLEMENTE, CA 92672-4182
Phone number: 888-508-3371