Organization
LIFE VESSEL TREATMENT AND RECOVERY DRIZA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN KUEMERLE (PRESIDENT)
(714) 470-4265
Entity
Organization
Contact information
Practice address
28312 DRIZA, MISSION VIEJO, CA 92692-1308
(714) 470-4265
Mailing address
31371 RANCHO VIEJO RD STE 102, SAN JUAN CAPISTRANO, CA 92675-1848
(714) 470-4265
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
12/06/2021
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