person
Mr. Douglas Anthony Tucker SR., MHSCATCIV155671
Substance Abuse Rehabilitation Facility in Santa Ana, California
NPI 1376901017

Douglas Anthony Tucker SR. is a Substance Abuse Rehabilitation Facility based in Santa Ana, CA. Douglas Anthony Tucker SR. practices in Santa Ana, CA and has the professional credentials of MHSCATCIV155671. The NPI Number for Douglas Anthony Tucker SR. is 1376901017 and holds a License No. 300033CN (California).

The current practice location address for Douglas Anthony Tucker SR. is 1207 E Fruit St, Santa Ana, CA and can be reached out via phone at 714-953-9373 and via fax at 714-953-7573. You can also correspond with Douglas Anthony Tucker SR. through the mailing address at 1207 E FRUIT ST, SANTA ANA, CA - 92701-4206 (mailing address contact number: 714-953-9373).

Location: 1207 E Fruit St, Santa Ana, CA, 92701-4206
person
Provider Profile Details
NPI Number
1376901017
Provider Name
Douglas Anthony Tucker SR.
Credential
MHSCATCIV155671
Provider Entity Type
Individual
Gender
Male
Address
1207 E Fruit St, Santa Ana, CA, 92701-4206
Phone Number
714-953-9373
Fax Number
714-953-7573
Provider Enumeration Date
02/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1207 E Fruit St
City
State
Zip
92701-4206
Phone Number
714-953-9373
Fax Number
714-953-7573
person
Provider Business Mailing Address Details
Address
1207 E Fruit St
City
State
Zip
92701-4206
Phone Number
714-953-9373
Fax Number
714-953-7573
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
300033CN (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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