Organization
FRIENDLY RECOVERY CENTER, LLC
Active
Other names
Friendly Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HAM MBA (CHIEF EXECUTIVE OFFICER)
(657) 218-9125
Entity
Organization
Contact information
Practice address
15991 RED HILL AVE STE 101, TUSTIN, CA 92780-7320
(657) 218-9125
(949) 781-4526
Mailing address
13681 NEWPORT AVE STE 8614, TUSTIN, CA 92780-4689
(657) 218-9125
(714) 455-7260
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/15/2024
Last updated
11/22/2024
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