Organization
SIMPLE RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ODOM LMFT (CEO/CHIEF FINANCIAL OFFICER)
(949) 646-3600
Entity
Organization
Contact information
Practice address
20112 VIVA CIR, HUNTINGTON BEACH, CA 92646-4942
(949) 646-3600
(928) 708-9620
Mailing address
9531 NETHERWAY DR, HUNTINGTON BEACH, CA 92646-6051
(855) 818-6731
(928) 708-9620
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300247CP
CA
Other
Enumeration date
10/28/2014
Last updated
11/06/2015
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