Organization
THE RUNWAY OF CALIFORNIA, LLC
Active
Other names
The Runway Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MICHELLE OSENDORF C052570518 (PROGRAM DIRECTOR)
(714) 299-1729
Entity
Organization
Contact information
Practice address
1245 W CHESTNUT AVE, SANTA ANA, CA 92703-4535
(714) 299-1729
(657) 210-4439
Mailing address
1245 W CHESTNUT AVE, SANTA ANA, CA 92703-4535
(714) 299-1729
(657) 210-4439
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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