NPI | 1972169605 |
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Doing Business As | SANCTUARY AMGIO |
Doing Business As | RENEWAL HEALTH GROUP |
Entity Type | Organization |
Authorized Contact | AMY CRICHTON Executive Director 760-200-3839 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-05-17 |
Last Update Date | 2022-02-10 |