Organization
TRANSFORMING LIFE OUTPATIENT PROGRAM, LLC
Active
Other names
Transforming Life Center, Transforming Life Residential Treatment Program
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAK AFSHAR (PROGRAM DIRECTOR)
(818) 590-0134
Entity
Organization
Contact information
Practice address
201 S LAKEVIEW AVE STE 249, PLACENTIA, CA 92870-6710
(818) 590-0134
Mailing address
5782 OHIO ST, YORBA LINDA, CA 92886-5321
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/21/2019
Last updated
07/15/2021
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