Individual provider · Type 1 NPI

Sandra Gayle Mann, CADDTP

Substance Abuse Rehabilitation Facility · Anaheim, CA

NPI number 1972675916 Active

Practice location

714 N Anaheim Blvd
Anaheim, CA 92805-2651

Mailing address

25761 Le Parc Unit 33
Lake Forest, CA 92630-5936

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 1972675916

Sandra Gayle Mann, CADDTP's National Provider Identifier is 1972675916, issued on Nov 14, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Anaheim, CA. The record was last updated on Jul 8, 2007.