# LEAD RECOVERY TRANSITIONAL LIVING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEAD Recovery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689156507
- **Authorized official:** KATHRYN NURMBERG (CFO)
- **Authorized official phone:** (949) 282-9447

## Contact information

- **Practice address:** 1516 BROOKHOLLOW DR UNIT A, SANTA ANA, CA 92705-5401
- **Practice address phone:** (949) 282-9447
- **Practice address fax:** (949) 666-8393
- **Mailing address:** 1516 BROOKHOLLOW DR UNIT A, SANTA ANA, CA 92705-5401
- **Mailing address phone:** (949) 282-9447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | — | NULL | — |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 01/05/2021