Pat Moore Detox, LLC
NPI #1245657873 in Costa Mesa, California
Provider Information
- NPI Number
- 1245657873
- Entity Type
- Organization
- Organization Name
- Pat Moore Detox, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SPROUT HEALTH, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 20, 2014
- Last Updated
- Mar 20, 2014
Practice Location
- Address
- 536 HAMILTON ST
- Address 2
- UNITS A, B AND C
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92627-2617
- Phone
- (949) 646-2830
Authorized Official
- Name
- AREL MEISTER-ALDAMA
- Title
- OWNER
- Phone
- (914) 960-0080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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