Immersive Wellness Centers, LLC
NPI #1104408780 in San Clemente, California
Provider Information
- NPI Number
- 1104408780
- Entity Type
- Organization
- Organization Name
- Immersive Wellness Centers, LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Apr 23, 2021
- Last Updated
- Apr 23, 2021
Practice Location
- Address
- 120 CRISTIANITOS ROAD
- Address 2
- UNIT 14207
- City
- San Clemente
- State
- California
- ZIP Code
- 92673
- Phone
- (619) 871-7345
Authorized Official
- Name
- ANGELA MCMAHON, EDD
- Title
- COO
- Phone
- (619) 871-7345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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