Organization
JLK STRENGTH LLC
Active
Other names
405 Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLASBEETS BEETS (DIRECTOR)
(949) 933-1931
Entity
Organization
Contact information
Practice address
17280 NEWHOPE ST STE 18, FOUNTAIN VALLEY, CA 92708-4282
(949) 531-1624
Mailing address
27181 ASHTON CIR, LAKE FOREST, CA 92630-5802
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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