Organization
INTEGRATED RECOVERY FOUNDATION 22
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA B FERNANDEZ LPT (UR/BILLING)
(951) 813-1720
Entity
Organization
Contact information
Practice address
30211 AVENIDA DE LAS BANDERA STE 200, RANCHO SANTA MARGARITA, CA 92688-2159
(949) 533-6075
(949) 484-7021
Mailing address
25 FLOR AMOR, RANCHO SANTA MARGARITA, CA 92688
(951) 813-1720
(949) 484-7021
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/02/2019
Last updated
06/09/2020
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