NPI 1154875185

Damascus Road, LLC

Organisation Substance Abuse Rehabilitation Facility Anaheim, CA

Practice location

Address: 1313 N Brookhurst St, Anaheim, CA 92801-1646
Phone: (559) 601-6065
Mailing address: PO Box 2496, Fullerton, CA 92837-0496

Authorised official

Name: Kelly Smith
Title: Office Coordinator
Phone: (559) 601-6065

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 300656AP (CA)

Other Substance Abuse Rehabilitation Facility providers in California →

Registry record

NPI: 1154875185
Entity type: Organization
NPI issued: 8 Aug 2016
Record last updated: 21 Jul 2022

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.