Moonstone Recovery Inc.
NPI #1225897317 in Plumas Lake, California
Provider Information
- NPI Number
- 1225897317
- Entity Type
- Organization
- Organization Name
- Moonstone Recovery Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 19, 2024
- Last Updated
- Mar 19, 2024
Practice Location
- Address
- 845 HENNESSEY WAY
- City
- Plumas Lake
- State
- California
- ZIP Code
- 95961-9224
- Phone
- (619) 456-7337
Authorized Official
- Name
- MR. STEPHEN RYAN FAILLE
- Title
- PRESIDENT
- Phone
- (619) 456-7337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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