Organization
BH-RC OPCO, LLC
Active
Other names
Jackson House Temecula
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ENGBRECHT (VICE PRESIDENT)
(858) 254-2510
Entity
Organization
Contact information
Practice address
28999 OLD TOWN FRONT ST, TEMECULA, CA 92590-5805
(858) 254-2510
Mailing address
7050 PARKWAY DR, LA MESA, CA 91942-1535
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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