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Ms. Kiersten M Smith, RADT
Substance Abuse Rehabilitation Facility in Lake Elsinore, California
NPI 1588285134

Kiersten M Smith is a Substance Abuse Rehabilitation Facility based in Lake Elsinore, CA. Kiersten M Smith practices in Lake Elsinore, CA and has the professional credentials of RADT. The NPI Number for Kiersten M Smith is 1588285134 and holds a License No. R1364550919 (California).

The current practice location address for Kiersten M Smith is 808 Amador Ct, Lake Elsinore, CA and can be reached out via phone at 714-331-5554.

Location: 808 Amador Ct, Lake Elsinore, CA, 92530-1862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588285134
Provider Name
Kiersten M Smith
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
808 Amador Ct, Lake Elsinore, CA, 92530-1862
Phone Number
714-331-5554
Fax Number
Provider Enumeration Date
05/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
808 Amador Ct
City
Lake Elsinore
State
California
Zip
92530-1862
Phone Number
714-331-5554
Fax Number
person
Provider Business Mailing Address Details
Address
808 Amador Ct
City
Lake Elsinore
State
California
Zip
92530-1862
Phone Number
714-331-5554
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
R1364550919 (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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