Organization · Type 2 NPI

Pat Moore Detox, LLC

Substance Abuse Rehabilitation Facility · Costa Mesa, CA

NPI number 1245657873 Active

Practice location

536 Hamilton St, Units A, B And C
Costa Mesa, CA 92627-2617

Call (949) 646-2830 Map

Fax (949) 646-3028

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X300274AP (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 1245657873

Pat Moore Detox, LLC's National Provider Identifier is 1245657873, issued on Mar 20, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Costa Mesa, CA. The record was last updated on Mar 20, 2014.