Organization
RECOVERY SERVICES MANAGEMENT LLC
Active
Other names
Mission Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KHOR (COO)
(949) 232-8462
Entity
Organization
Contact information
Practice address
25352 HILLARY LN, LAGUNA HILLS, CA 92653-5217
(954) 654-9072
(954) 251-3718
Mailing address
1201 PUERTA DEL SOL STE 222, SAN CLEMENTE, CA 92673-6310
(949) 232-8462
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300092AP
CALIFORNIA STATE LICENSE
CA
Enumeration date
12/06/2018
Last updated
06/12/2024
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