Organization
ASANA RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHANDROW (CEO)
(702) 786-2396
Entity
Organization
Contact information
Practice address
3062 JOHNSON AVE, COSTA MESA, CA 92626-2819
(702) 786-2396
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
05/18/2020
Last updated
12/15/2020
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