Organization
IRECOVERY BEHAVIORAL HEALTH CLINIC, LLC
Active
Other names
iRecovery Santa Maria
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KROLL (SUPERVISOR)
(805) 631-5268
Entity
Organization
Contact information
Practice address
607 PLAZA DR, SUITE C-102, SANTA MARIA, CA 93454-6944
(805) 631-5268
(805) 631-5264
Mailing address
68778 E PALM CANYON DR, CATHEDRAL CITY, CA 92234-1313
(805) 631-5268
(805) 631-5264
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
CA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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