| NPI | 1174193056 |
|---|---|
| Doing Business As | PREVENTION AND RECOVERY CENTER, CLEARLAKE IOP |
| Entity Type | Organization |
| Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2023-05-08 |