NPI | 1407593072 |
---|---|
Former Legal Business Name | TEMPLE RECOVERY SERVICES |
Entity Type | Organization |
Authorized Contact | MY TIEU LE Owner 949-280-8360 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-05-16 |
Last Update Date | 2022-05-16 |