Organization
BRICKFIRE LLC
Active
Organization
BRICKFIRE LLC
Active
Other names
The Forge Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BAILEY (GENERAL COUNSEL)
(714) 352-9138
Entity
Organization
Contact information
Practice address
1560 BROOKHOLLOW DR STE 106, SANTA ANA, CA 92705-5428
(949) 750-2720
(714) 699-9492
Mailing address
20500 BELSHAW AVE. DPT XLA 1126, CARSON, CA 90746-3506
(949) 750-2720
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/06/2021
Last updated
03/06/2024
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