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Physician Nutraceutical Research, Inc
Substance Abuse Rehabilitation Facility in San Clemente, California
NPI 1154627925

Physician Nutraceutical Research, Inc is a Substance Abuse Rehabilitation Facility based in San Clemente, CA. Physician Nutraceutical Research, Inc practices in San Clemente, CA. The NPI Number for Physician Nutraceutical Research, Inc is 1154627925 and holds a License No. 300189AP (California).

The current practice location address for Physician Nutraceutical Research, Inc is 140 Avenida Algodon, San Clemente, CA and can be reached out via phone at 888-508-3371 and via fax at 949-481-7063.

Location: 140 Avenida Algodon, San Clemente, CA, 92672-4182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154627925
Provider Name
Physician Nutraceutical Research, Inc
Credential
Provider Entity Type
Organization
Address
140 Avenida Algodon, San Clemente, CA, 92672-4182
Phone Number
888-508-3371
Fax Number
949-481-7063
Provider Enumeration Date
01/26/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
140 Avenida Algodon
City
San Clemente
State
California
Zip
92672-4182
Phone Number
888-508-3371
Fax Number
949-481-7063
person
Provider Business Mailing Address Details
Address
140 Avenida Algodon
City
San Clemente
State
California
Zip
92672-4182
Phone Number
888-508-3371
Fax Number
949-481-7063
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
300189AP (California)
Definition
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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