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Organization
REBECCA'S HOUSE
Active
Organization
REBECCA'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COOPER (FOUNDER, DIRECTOR)
18007112062
Entity
Organization
Contact information
Practice address
23861 EL TORO RD FL 7, LAKE FOREST, CA 92630-4732
(800) 711-2630
Mailing address
23861 EL TORO RD FL 7, LAKE FOREST, CA 92630-4732
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/31/2010
Last updated
12/31/2010
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