Organization
SOUTHERN CALIFORNIA ALCOHOL AND DRUG RECOVERY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN C YARTER (EXECUTIVE DIRECTOR)
(714) 319-7899
Entity
Organization
Contact information
Practice address
25332 PACIFICA AVE, MISSION VIEJO, CA 92691-3843
(714) 319-7899
Mailing address
PO BOX 3453, COSTA MESA, CA 92628-3453
(714) 319-7899
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
09/27/2013
Last updated
09/30/2013
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