Individual provider · Type 1 NPI

Kelly Tanacea

Substance Abuse Rehabilitation Facility · Santa Ana, CA

NPI number 1992237507 Active

Practice location

3301 S Bear St, 35F
Santa Ana, CA 92704-7263

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 1992237507

Kelly Tanacea's National Provider Identifier is 1992237507, issued on Apr 2, 2017. 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 Apr 2, 2017.