Organization
HEALTHY LIFE RECOVERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WITT (CFO)
(858) 888-5332
Entity
Organization
Contact information
Practice address
4747 MISSION BLVD STE 6, SAN DIEGO, CA 92109-2541
(858) 888-5332
Mailing address
927 MISSOURI ST, SAN DIEGO, CA 92109-2513
(858) 888-5332
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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