PAT MOORE DETOX LLC NPI 1245657873

NPI Information

PAT MOORE DETOX, LLC is a substance abuse rehabilitation facility in Costa Mesa, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PAT MOORE DETOX, LLC NPI is 1245657873. The provider is registered as an organization entity type.

The provider's business location address is:

536 HAMILTON ST
UNITS A, B AND C
COSTA MESA, CA
ZIP 92627-617
Phone: (949) 646-2830
Fax: (949) 646-3028

The provider's authorized official is Arel Meister-aldama .
The authorized official title is Owner and has the following contact phone number (914) 960-0080.

The enumeration date for this NPI number is 3/20/2014 and was last updated on 3/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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