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Mr. Edmund W Lewis
Substance Abuse Rehabilitation Facility in Victorville, California
NPI 1225357791

Edmund W Lewis is a Substance Abuse Rehabilitation Facility based in Victorville, CA. Edmund W Lewis practices in Victorville, CA. The NPI Number for Edmund W Lewis is 1225357791 and holds a License No. RW2973 (California).

The current practice location address for Edmund W Lewis is 13333 Palmdale Rd, Victorville, CA and can be reached out via phone at 760-241-4917 and via fax at 760-241-8911.

Location: 13333 Palmdale Rd, Victorville, CA, 92392-9364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225357791
Provider Name
Edmund W Lewis
Credential
Provider Entity Type
Individual
Gender
Male
Address
13333 Palmdale Rd, Victorville, CA, 92392-9364
Phone Number
760-241-4917
Fax Number
760-241-8911
Provider Enumeration Date
05/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13333 Palmdale Rd
City
Victorville
State
California
Zip
92392-9364
Phone Number
760-241-4917
Fax Number
760-241-8911
person
Provider Business Mailing Address Details
Address
13333 Palmdale Rd
City
Victorville
State
California
Zip
92392-9364
Phone Number
760-241-4917
Fax Number
760-241-8911
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
RW2973 (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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