NPI | 1477324853 |
---|---|
Doing Business As | VILLA MARIA DETOX |
Entity Type | Organization |
Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-01-12 |
Last Update Date | 2024-01-12 |