Organization
MENDING BRIDGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL URETA JR. (CEO)
(657) 216-4133
Entity
Organization
Contact information
Practice address
430 N STATE COLLEGE BLVD, UNIT A AND C, ANAHEIM, CA 92806-2916
(657) 216-4133
Mailing address
1082 FERNLEAF LN, CORONA, CA 92881-3677
(657) 216-4133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
11/05/2024
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