Organization
LONG BEACH RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FENNELLY (PRESIDENT & CEO)
(949) 467-9213
Entity
Organization
Contact information
Practice address
1818 E APPLETON ST, LONG BEACH, CA 90802-3911
(949) 467-9213
Mailing address
2900 BRISTOL ST STE B300, COSTA MESA, CA 92626-5948
(949) 467-9213
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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