WESTERN PACIFIC RE-HAB

COSTA MESA, CA
NPI1578902466
Entity TypeOrganization
Authorized ContactMARK HICKMAN
CEO
818-956-3737
Organization Subpart ?No
Primary Taxonomy261QM2800X Clinic/Center Methadone
(Licence: CA  30-12)
Enumeration Date2013-06-24
Last Update Date2020-01-23
Business Address
WESTERN PACIFIC RE-HAB
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
Phone number: 949-629-2862
Mailing Address
WESTERN PACIFIC RE-HAB
4544 SAN FERNANDO RD SUITE 202
GLENDALE, CA 91204-1987
Phone number: 818-956-3737
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