THE DUCK HOUSE LLC NPI 1679013288

NPI Information

THE DUCK HOUSE, 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. THE DUCK HOUSE, LLC NPI is 1679013288. The provider is registered as an organization entity type.
The provider Is Doing Business As The Duck House.

The provider's business location address is:

952 DAHLIA AVE
COSTA MESA, CA
ZIP 92626-739
Phone: (714) 598-7467

The provider's authorized official is Ahmad Ali Kohzad .
The authorized official title is Owner/ceo and has the following contact phone number (714) 598-7467.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/1/2017.

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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