Organization
SULLIVANS DETOX AND RESIDENTIAL TREATMENT LLC
Active
Other names
Sullivan Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
CORY SULLIVAN (CEO)
(714) 757-7266
Entity
Organization
Contact information
Practice address
24731 VIA SAN FERNANDO, MISSION VIEJO, CA 92692-2431
(949) 735-1576
Mailing address
943 CONGRESS ST, COSTA MESA, CA 92627-3339
(714) 757-7266
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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