# BETHEL O & A, INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Divine Recovery Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790071454
- **Authorized official:** MR. FEMI ABATAN (VICE-PRESIDENT)
- **Authorized official phone:** (714) 225-4762

## Contact information

- **Practice address:** 285 S GILBERT ST, FULLERTON, CA 92833-2908
- **Practice address phone:** (714) 225-4762
- **Practice address fax:** (714) 930-9435
- **Mailing address:** 285 S GILBERT ST, FULLERTON, CA 92833-2908
- **Mailing address phone:** (714) 225-4762
- **Mailing address fax:** (714) 930-9435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | CA | — |
| 302R00000X | Health Maintenance Organization | — | CA | Yes |

## Other

- **Enumeration date:** 06/21/2011
- **Last updated:** 06/21/2011