NPI 1093268849

Woodglen West Detox

Organisation Substance Abuse Rehabilitation Facility Fullerton, CA

Practice location

Address: 1401 W Orangethorpe Ave, Fullerton, CA 92833-4632
Phone: (714) 869-3270
Mailing address: 771 W Orangethorpe Ave, Fullerton, CA 92832-2806

Authorised official

Name: Walter P Erickson
Title: Program Director
Phone: (714) 578-2962

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 300042DN (CA)

Other Substance Abuse Rehabilitation Facility providers in California →

Registry record

NPI: 1093268849
Entity type: Organization
NPI issued: 28 Jul 2016
Record last updated: 28 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.