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Pat Moore Detox, Llc
Substance Abuse Rehabilitation Facility in Costa Mesa, California
NPI 1245657873

Pat Moore Detox, Llc is a Substance Abuse Rehabilitation Facility based in Costa Mesa, CA. Pat Moore Detox, Llc practices in Costa Mesa, CA. The NPI Number for Pat Moore Detox, Llc is 1245657873 and holds a License No. 300274AP (California).

The current practice location address for Pat Moore Detox, Llc is 536 Hamilton St, Costa Mesa, CA and can be reached out via phone at 949-646-2830 and via fax at 949-646-3028.

Location: 536 Hamilton St, Costa Mesa, CA, 92627-2617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245657873
Provider Name
Pat Moore Detox, Llc
Credential
Provider Entity Type
Organization
Address
536 Hamilton St, Costa Mesa, CA, 92627-2617
Phone Number
949-646-2830
Fax Number
949-646-3028
Provider Enumeration Date
03/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
536 Hamilton St
City
Costa Mesa
State
California
Zip
92627-2617
Phone Number
949-646-2830
Fax Number
949-646-3028
person
Provider Business Mailing Address Details
Address
536 Hamilton St
City
Costa Mesa
State
California
Zip
92627-2617
Phone Number
949-646-2830
Fax Number
949-646-3028
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
300274AP (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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