Organization
LIFE VESSEL TREATMENT AND RECOVERY
Active
Organization
LIFE VESSEL TREATMENT AND RECOVERY
Active
Other names
The Mission House
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR B CABRERA PHARM D (EXECUTIVE DIRECTOR)
(949) 388-4114
Entity
Organization
Contact information
Practice address
25466 GLORIOSA DR, MISSION VIEJO, CA 92691-4642
(949) 388-4114
Mailing address
1040 W 17TH ST, COSTA MESA, CA 92627-4503
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
300683AP
CA
Other
Enumeration date
12/26/2017
Last updated
01/18/2019
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