Organization
INDAH RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY RIZKALLAH (PROGRAM DIRECTOR)
(818) 294-5019
Entity
Organization
Contact information
Practice address
35492 DEL REY, DANA POINT, CA 92624-1836
(818) 294-5019
Mailing address
5825 LINCOLN AVE STE D-613, BUENA PARK, CA 90620-3463
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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