Organization
WHOLE LIFE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY JOY STONE LMFT (PROGRAM DIRECTOR/THERAPIST)
(949) 294-5104
Entity
Organization
Contact information
Practice address
32122 CAMINO CAPISTRANO, SUITE 100, SAN JUAN CAPISTRANO, CA 92675-3734
(949) 294-5104
Mailing address
32122 CAMINO CAPISTRANO, SUITE 100, SAN JUAN CAPISTRANO, CA 92675-3734
(949) 294-5104
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
84751
CA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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