Organization
BUCKEYE RECOVERY NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN STUMP (COO)
(202) 441-3570
Entity
Organization
Contact information
Practice address
19322 BEACH BLVD, HUNTINGTON BEACH, CA 92648
(949) 515-9195
(949) 515-9193
Mailing address
19322 BEACH BLVD., HUNTINGTON BEACH, CA 92648
(949) 515-9195
(949) 515-9193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
11/29/2017
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