Organization
CREST RECOVERY LLC
Active
Other names
TruVida Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
CEAIRA COFFIN (BILLING DIRECTOR)
(833) 233-0091
Entity
Organization
Contact information
Practice address
29522 VIA VALVERDE, LAGUNA NIGUEL, CA 92677-1868
(949) 283-4679
Mailing address
45 TIMBERLAND, ALISO VIEJO, CA 92656-2108
(949) 283-4679
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300351AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300351AP
DHCS
CA
Enumeration date
02/24/2016
Last updated
04/08/2020
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