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Organization

MORNINGSIDE RECOVERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAYMOND JEFFREY YATES (OWNER/PRESIDENT)
(949) 675-0006
Entity
Organization

Contact information

Practice address
1400 REYNOLDS AVE, IRVINE, CA 92614
(949) 675-0006
(949) 675-0007
Mailing address
1400 REYNOLDS AVE, SUITE 200, IRVINE, CA 92614
(949) 675-0006
(949) 675-0007

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300168IP
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300168IP
DEPT. ALCOHOL AND DRUG PROGRAMS (ADP)
CA
Enumeration date
01/17/2008
Last updated
08/19/2016
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