Organization
EXPERIENCE RECOVERY DETOX & RESIDENTIAL LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHU NGUYEN (CEO)
(714) 951-8514
Entity
Organization
Contact information
Practice address
3919 W HAZARD AVE, SANTA ANA, CA 92703-2625
(714) 713-5272
Mailing address
3919 W HAZARD AVE, SANTA ANA, CA 92703-2625
(800) 870-3973
(855) 275-5428
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
07/17/2025
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