Paris Supry, RAD-T
NPI #1780300509 in Santa Ana, California
Provider Information
- NPI Number
- 1780300509
- Entity Type
- Individual
- Name
- Paris Supry, RAD-T
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Credential
- RAD-T
- Enumeration Date
- Oct 13, 2022
- Last Updated
- Oct 13, 2022
Practice Location
- Address
- 1950 E 17TH ST STE 150
- City
- Santa Ana
- State
- California
- ZIP Code
- 92705-6852
- Phone
- (714) 547-5375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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