SO CAL TREATMENT OUTPATIENT NPI 1902258908

NPI Information

SO CAL TREATMENT OUTPATIENT is a substance abuse rehabilitation facility in Anaheim, 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. SO CAL TREATMENT OUTPATIENT NPI is 1902258908. The provider is registered as an organization entity type.

The provider's business location address is:

2166 W BROADWAY
#134
ANAHEIM, CA
ZIP 92804-446
Phone: (714) 381-0432
Fax: (714) 333-4866

The provider's authorized official is Trina Timanus .
The authorized official title is Ceo and has the following contact phone number (714) 381-0432.

The enumeration date for this NPI number is 7/1/2016 and was last updated on 7/1/2016.

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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