Organization
SOUTHERN CALFIORNIA SUNRISE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VILLARREAL (COO)
(949) 533-3046
Entity
Organization
Contact information
Practice address
24522 VANESSA DR, MISSION VIEJO, CA 92691-4672
(949) 533-3046
Mailing address
28562 OSO PKWY # D-313, RANCHO SANTA MARGARITA, CA 92688-5595
(949) 533-3046
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
01/07/2021
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