NPI | 1679013288 |
---|---|
Doing Business As | THE DUCK HOUSE |
Entity Type | Organization |
Authorized Contact | AHMAD ALI KOHZAD Owner/CEO 714-598-7467 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300358ap) |
Enumeration Date | 2017-03-01 |
Last Update Date | 2017-03-01 |