Organization
NEW ESSENCE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDIGO DAWN ALLENDORF RADT1 (EXECUTIVE DIRECTOR)
(949) 335-8802
Entity
Organization
Contact information
Practice address
10784 HARCOURT AVE, ANAHEIM, CA 92804-6341
(949) 335-8802
Mailing address
3140 RED HILL AVE STE 284, COSTA MESA, CA 92626-3400
(949) 335-8802
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346387743
300670AP
CA
01
—
300670AP
LICENSE #
CA
Enumeration date
03/11/2020
Last updated
11/16/2020
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