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4199 Campus Dr Ste 550 Irvine CA 92612-4694 | |
| (406) 219-7835 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4199 Campus Dr Ste 550, Irvine, California |
| Authorized Official Name and Position | Carter Barnhart (CEO) |
| Authorized Official Contact | 4062197835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
233 E Main St Suite 401 Bozeman MT 59715 Ph: (406) 219-7835 | 4199 Campus Dr Ste 550 Irvine CA 92612-4694 Ph: (406) 219-7835 |
| NPI Number | 1851982110 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 01/05/2024 |
| Certification Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851982110 | NPI | - | NPPES |
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