Organization · Type 2 NPI

Pat Moore Detox, LLC

Substance Abuse Rehabilitation Facility · Costa Mesa, CA

NPI number 1770921124 Active

Practice location

536 Hamilton St, Units A,b,c
Costa Mesa, CA 92627-2617

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

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 1770921124

Pat Moore Detox, LLC's National Provider Identifier is 1770921124, issued on Jun 7, 2013. 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 Jun 7, 2013.