Organization
WINDWARD WAY RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN ROY (BILLING DIRECTOR)
(657) 304-0103
Entity
Organization
Contact information
Practice address
2136 THURIN ST UNIT B, COSTA MESA, CA 92627-6067
(877) 713-2669
(877) 820-8959
Mailing address
3822 CAMPUS DR STE 500, NEWPORT BEACH, CA 92660-2607
(949) 335-7598
(877) 820-8959
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300246EP
CA
324500000X
Substance Abuse Rehabilitation Facility
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Other
Enumeration date
11/07/2016
Last updated
05/07/2020
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