Organization
RECOVERY BAY REHABILITATION CENTER
Active
Other names
Path to Serenity
Organization subpart
No
Provider details
NPI number
Authorized official
IZZY HIRSON (CEO)
(949) 887-6379
Entity
Organization
Contact information
Practice address
1122 BRISTOL ST, COSTA MESA, CA 92626-7972
(949) 887-6379
Mailing address
8 CHESHIRE CT, NEWPORT BEACH, CA 92660-4210
(949) 887-6379
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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