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Search › California › Substance Abuse Rehabilitation Facility

Douglas Tucker, MHS CATC IV 155671

NPI 1376901017 · on the registry since 2016 · sole proprietor

Practice

Address
1207 E Fruit St
Santa Ana, CA 92701
Phone
(714) 953-9373
Fax
(714) 953-7573
Organisation at this address
Phoenix House Orange County, Inc
Phoenix House Orange County, Inc.
Phoenix House Orange County, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
247

Registry record

Primary taxonomy
Substance Abuse Rehabilitation Facility
324500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California