Organization
ASANA RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHANDROW (CEO)
(310) 999-2242
Entity
Organization
Contact information
Practice address
18101 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708-5647
(310) 999-2242
Mailing address
1730 POMONA AVE STE 3, COSTA MESA, CA 92627-3628
(310) 999-2242
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/06/2021
Last updated
09/09/2021
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