Organization · Type 2 NPI
Immersive Wellness Centers, LLC
Substance Use Disorder Rehabilitation Clinic/Center · San Clemente, CA
NPI number
1104408780
Active
Practice location
120 Cristianitos Road, Unit 14207
San Clemente, CA 92673
Mailing address
34145 Pacific Coast Hwy # 728
Dana Point, CA 92629-2808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1104408780
Immersive Wellness Centers, LLC's National Provider Identifier is 1104408780, issued on Apr 23, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in San Clemente, CA. The record was last updated on Apr 23, 2021.