| NPI | 1770055428 |
|---|---|
| Doing Business As | PINELANDS RECOVERY CENTER OF MEDFORD |
| Entity Type | Organization |
| Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2023-05-08 |