Individual provider · Type 1 NPI

Douglas Anthony Tucker Sr., MHS CATC IV 155671

Substance Abuse Rehabilitation Facility · Santa Ana, CA

NPI number 1376901017 Active

Practice location

1207 E Fruit St
Santa Ana, CA 92701-4206

Call (714) 953-9373 Map

Fax (714) 953-7573

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X300033CN (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 1376901017

Douglas Anthony Tucker Sr., MHS CATC IV 155671's National Provider Identifier is 1376901017, issued on Feb 9, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Santa Ana, CA. The record was last updated on Feb 9, 2016.