Organization
RISING ROADS RECOVERY SERVICES FOR WOMEN, LLC
Active
Other names
Rising Roads Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A GATDULA (FOUNDER / CEO)
(714) 673-9007
Entity
Organization
Contact information
Practice address
10605 EL ESTE AVE, FOUNTAIN VALLEY, CA 92708-6009
(949) 922-1901
Mailing address
3151 AIRWAY AVE STE I3, COSTA MESA, CA 92626-4624
(949) 922-1901
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
300659AP
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
300659BP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300659AP
SUBSTANCE ABUSE REHAB
CA
01
—
300659BP
SUBSTANCE ABUSE REHAB
CA
01
—
300659DP
SUBSTANCE ABUSE OP SERVICES
CA
Enumeration date
11/15/2017
Last updated
03/05/2024
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