BENJAMIN BREWER

LAKE ELSINORE, CA
NPI1306083621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-01-08
Last Update Date2009-01-08
Business Address
-- BENJAMIN BREWER CAS
600 3RD ST
LAKE ELSINORE, CA 92530-2748
Phone number: 951-674-5354
Mailing Address
-- BENJAMIN BREWER CAS
600 3RD ST
LAKE ELSINORE, CA 92530-2748
Phone number: 951-674-5354
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