The House of the Rising Son
NPI #1912355850 in San Clemente, California
Provider Information
- NPI Number
- 1912355850
- Entity Type
- Organization
- Organization Name
- The House of the Rising Son
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 1, 2016
- Last Updated
- Jun 1, 2016
Practice Location
- Address
- 521 W AVENIDA DE LOS LOBOS MARINOS
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-4374
- Phone
- (503) 793-8919
Authorized Official
- Name
- JACQUELINE F BAHU
- Title
- OWNER/CFO
- Phone
- (503) 793-8919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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