Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1821435470 |
| LBN Legal business name | CAMINO REAL RECOVERY CENTER |
| Authorized official | JAMES SOWARD - (CO-OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/22/2013 |
| Last updated | 05/22/2013 - About 13 years ago |
| Identifiers | n/a |
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