Organization
SIMPLE RECOVERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ODOM (ACCOUNT MANAGER)
(949) 646-3600
Entity
Organization
Contact information
Practice address
9531 NETHERWAY DR, HUNTINGTON BEACH, CA 92646-6051
(949) 646-3600
Mailing address
9531 NETHERWAY DR, HUNTINGTON BEACH, CA 92646-6051
(949) 646-3600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
300247AP
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
300247AP
CA
Other
Enumeration date
01/30/2013
Last updated
10/26/2015
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