Organization
RECOVERY BAY REHABILITATION CENTER, LLC
Active
Other names
Addiction Recovery Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IZZY HIRSON (CEO/EXECUTIVE DIRECTOR)
(949) 887-6379
Entity
Organization
Contact information
Practice address
18912 PATRICIAN DR, VILLA PARK, CA 92861-4214
(949) 887-6379
Mailing address
8 CHESHIRE CT, NEWPORT BEACH, CA 92660-4210
(949) 289-0350
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300300AP
CA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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