# DESTINY RECOVERY CENTER IOP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DETINY RECOVERY CENTER IOP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356860738
- **Authorized official:** MR. MORDECHAI RUBIN (OWNER)
- **Authorized official phone:** (877) 706-2650

## Contact information

- **Practice address:** 23041 AVENIDA DE LA CARLOTA STE 280, LAGUNA HILLS, CA 92653-1531
- **Practice address phone:** (877) 706-2650
- **Mailing address:** 23041 AVENIDA DE LA CARLOTA STE 280, LAGUNA HILLS, CA 92653-1531
- **Mailing address phone:** (877) 706-2650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 300377AP | CA | Yes |

## Other

- **Enumeration date:** 09/17/2017
- **Last updated:** 09/17/2017