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Organization

RECOVERY BAY REHABILITATION CENTER

Active
Other names
Path to Serenity
Organization subpart
No

Provider details

NPI number
Authorized official
IZZY HIRSON (CEO)
(949) 887-6379
Entity
Organization

Contact information

Practice address
10002 BRILEY WAY, VILLA PARK, CA 92861-4219
(949) 887-6379
Mailing address
8 CHESHIRE CT, NEWPORT BEACH, CA 92660-4210

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300300BP
CA

Other

Enumeration date
04/19/2017
Last updated
04/19/2017
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