Yellowstone Women'S First Step House, INC.
Substance Abuse Rehabilitation Facility in Costa Mesa, CA. Organization (NPI-2).
NPI number1083905798
StatusActive
Last updated in NPPESApr 28, 2011
Details
- NPI
- 1083905798
- Entity type
- Organization (NPI-2)
- Legal business name
- Yellowstone Women'S First Step House, INC.
- Organization subpart
- No
- Enumeration date
- Apr 28, 2011
- Last updated
- Apr 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- The Wing (Other Name)
Practice location
160 E Bay StCosta Mesa, CA 92627-2147
Phone 888-941-9048 · Fax 949-646-5296
Mailing address
154 E Bay StCosta Mesa, CA 92627-2147
Phone 888-941-9048 · Fax 949-646-5296
Authorized official
Katherine Rose Catanzarite
Contracts Negotiator/Medical Biller
8187730989
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