Organization
LEAD RECOVERY TRANSITIONAL LIVING CENTER, LLC
Active
Other names
LEAD Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN NURMBERG (CFO)
(949) 282-9447
Entity
Organization
Contact information
Practice address
1516 BROOKHOLLOW DR UNIT A, SANTA ANA, CA 92705-5401
(949) 282-9447
(949) 666-8393
Mailing address
1516 BROOKHOLLOW DR UNIT A, SANTA ANA, CA 92705-5401
(949) 282-9447
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
09/06/2018
Last updated
01/05/2021
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