Organization
LEAD RECOVERY TRANSITIONAL LIVING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINA NURMBERG (PROGRAM MANAGER)
(949) 282-8016
Entity
Organization
Contact information
Practice address
192 S CRAIG DR, ORANGE, CA 92869-3731
(800) 380-0012
(949) 666-8393
Mailing address
192 S CRAIG DR, ORANGE, CA 92869-3731
(949) 282-8016
(949) 666-8393
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
01/05/2021
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