Organization · Type 2 NPI

Physician Nutraceutical Research, Inc

Substance Abuse Rehabilitation Facility · San Clemente, CA

NPI number 1154627925 Active

Practice location

140 Avenida Algodon, #A, B & C
San Clemente, CA 92672-4182

Call (888) 508-3371 Map

Fax (949) 481-7063

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X300189AP (CA)
Substance Abuse Rehabilitation Facility 324500000X300189BP (CA)
Substance Abuse Rehabilitation Facility 324500000X300189CP (CA)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1154627925

Physician Nutraceutical Research, Inc's National Provider Identifier is 1154627925, issued on Jan 26, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Clemente, CA. The record was last updated on Jan 26, 2011.