Lazy Dog Ranch , Inc., a California Corporation
NPI #1194208793 in Yucaipa, California
Provider Information
- NPI Number
- 1194208793
- Entity Type
- Organization
- Organization Name
- Lazy Dog Ranch , Inc., a California Corporation
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Sep 10, 2018
- Last Updated
- Sep 10, 2018
Practice Location
- Address
- 34247 YUCAIPA BLVD STE I
- City
- Yucaipa
- State
- California
- ZIP Code
- 92399-6118
- Phone
- (909) 599-0871
Authorized Official
- Name
- MS. CHRISTINE LOUISE GALLAGHER, LPT
- Title
- ADMINISTRATOR/CO-OWNER
- Phone
- (909) 277-5045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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