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Organization

CRYSTAL COVE RECOVERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN TRYON (DIRECTOR)
(949) 353-7162
Entity
Organization

Contact information

Practice address
533 PARK AVE, LAGUNA BEACH, CA 92651-2354
(949) 353-7162
Mailing address
31706 COAST HWY UNIT 401, LAGUNA BEACH, CA 92651-7022
(949) 353-7162

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
04/01/2026
Last updated
04/01/2026
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