Wood Dragon Inn LLC
NPI #1821854290 in Idyllwild, California
Provider Information
- NPI Number
- 1821854290
- Entity Type
- Organization
- Organization Name
- Wood Dragon Inn LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Feb 23, 2024
- Last Updated
- Aug 12, 2024
Practice Location
- Address
- 53295 OATES LANE
- City
- Idyllwild
- State
- California
- ZIP Code
- 92549
- Phone
- (800) 750-2613
Authorized Official
- Name
- TYLER PENROD
- Title
- CONSULTANT
- Phone
- (305) 900-4715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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