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1906 Orange Tree Ln Ste 220 Redlands CA 92374-4511 | |
| (800) 474-4848 | |
| (909) 793-5090 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1906 Orange Tree Ln Ste 220, Redlands, California |
| Authorized Official Name and Position | Dawn Tardiff (PARTNER) |
| Authorized Official Contact | 9094518334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1910 Orange Tree Ln Ste 300 Redlands CA 92374-4500 Ph: (909) 351-4347 | 1906 Orange Tree Ln Ste 220 Redlands CA 92374-4511 Ph: (800) 474-4848 |
| NPI Number | 1235553843 |
|---|---|
| Provider Enumeration Date | 02/18/2014 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235553843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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