Pur Detox INC
NPI #1194056358 in Dana Point, California
Provider Information
- NPI Number
- 1194056358
- Entity Type
- Organization
- Organization Name
- Pur Detox INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 27, 2010
- Last Updated
- Oct 3, 2012
Practice Location
- Address
- 25071 ALICIA DR
- City
- Dana Point
- State
- California
- ZIP Code
- 92629-2413
- Phone
- (888) 803-3869
Authorized Official
- Name
- MRS. HOLLAND BINFORD
- Title
- INSURANCE OFFICER
- Phone
- (888) 853-3869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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