Organization
DESTINY RECOVERY CENTER IOP
Active
Other names
DETINY RECOVERY CENTER IOP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORDECHAI RUBIN (OWNER)
(877) 706-2650
Entity
Organization
Contact information
Practice address
23041 AVENIDA DE LA CARLOTA STE 280, LAGUNA HILLS, CA 92653-1531
(877) 706-2650
Mailing address
23041 AVENIDA DE LA CARLOTA STE 280, LAGUNA HILLS, CA 92653-1531
(877) 706-2650
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
300377AP
CA
Other
Enumeration date
09/17/2017
Last updated
09/17/2017
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