Organization
TML RECOVERY, LLC
Active
Other names
Southern California Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS PAUTSCH (DIRECTOR OF OPERATIONS)
(949) 419-4929
Entity
Organization
Contact information
Practice address
34249 CAMINO CAPISTRANO, CAPISTRANO BEACH, CA 92624
(949) 481-6156
(949) 542-3878
Mailing address
34249 CAMINO CAPISTRANO, SUITE 101, CAPISTRANO BEACH, CA 92624
(949) 419-4929
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2063707
CLIA
CA
Enumeration date
08/20/2013
Last updated
07/02/2018
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