Healthcare Provider Details

I. General information

NPI: 1801710413
Provider Name (Legal Business Name): DM SABLAN HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SPRINGS PLAZA SUITE #4 CHALAN PALE ARNOLD RD. GUALO RAI
SAIPAN MP
96950
US

IV. Provider business mailing address

PO BOX: 515 GRB
SAIPAN MP
96950
US

V. Phone/Fax

Practice location:
  • Phone: 670-235-8378
  • Fax:
Mailing address:
  • Phone: 670-235-8378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DIEGO MANGLONA SABLAN
Title or Position: PRESIDENT
Credential:
Phone: 670-285-3784