NPI | 1285400390 |
---|---|
Doing Business As | CMS AURORA ON DEL MAR |
Entity Type | Organization |
Authorized Contact | ALEJANDRA G VILCHIS Credentialing Provider Data Manager 480-977-1438 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
251S00000X | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2023-11-29 |
Last Update Date | 2024-02-10 |