NPI | 1336883834 |
---|---|
Doing Business As | PALO VERDE WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM BURSE CEO 949-973-5427 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-04-21 |
Last Update Date | 2024-05-08 |