Kelly Tanacea
NPI #1992237507 in Santa Ana, California
Provider Information
- NPI Number
- 1992237507
- Entity Type
- Individual
- Name
- Kelly Tanacea
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 2, 2017
- Last Updated
- Apr 2, 2017
Practice Location
- Address
- 3301 S BEAR ST
- Address 2
- 35F
- City
- Santa Ana
- State
- California
- ZIP Code
- 92704-7263
- Phone
- (949) 524-0706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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Organizations
| Provider Name | |
|---|---|
| New Life Treatment Center Inc. |
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