Organization
KOOL LIVING INC.
Active
Parent organization
KOOL LIVING INC
Other names
Footprints Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOOL LIVING INC
Authorized official
NICHOLAS RUSSI LAADC CCS (VICE-PRESIDENT)
(951) 427-4807
Entity
Organization
Contact information
Practice address
26421 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-8564
(866) 921-3778
Mailing address
20138 ELKWOOD ST, WINNETKA, CA 91306-2312
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2015
Last updated
12/23/2016
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