Organization
REVIVE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA M HARRIS (ACCOUNTANT)
(949) 467-4324
Entity
Organization
Contact information
Practice address
23361 MADERO STE 200, MISSION VIEJO, CA 92691-7952
(949) 467-4324
Mailing address
23361 MADERO STE 200, MISSION VIEJO, CA 92691-7952
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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