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Organization
DESTINY RECOVERY CENTER IOP
Active
Organization
DESTINY RECOVERY CENTER IOP
Active
Other names
DETINY RECOVERY CENTER IOP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORDECHAI RUBIN (OWNER)
(877) 706-2650
Entity
Organization
Contact information
Practice address
23041 AVENIDA DE LA CARLOTA STE 280, LAGUNA HILLS, CA 92653-1531
(877) 706-2650
Mailing address
23041 AVENIDA DE LA CARLOTA STE 280, LAGUNA HILLS, CA 92653-1531
(877) 706-2650
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
300377AP
CA
Other
Enumeration date
09/17/2017
Last updated
09/17/2017
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