Organization
NATIONWIDE RECOVERY CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CONNELLY (OPERATIONS MANAGER)
(203) 260-8577
Entity
Organization
Contact information
Practice address
22602 COSTA BELLA DR, LAKE FOREST, CA 92630-4218
(203) 260-8577
Mailing address
555 N EL CAMINO REAL, STE A141, SAN CLEMENTE, CA 92672-6740
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300634AP
CA
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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