Organization
PILLARS RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GATES (CHIEF OPERATING OFFICER)
(949) 701-1959
Entity
Organization
Contact information
Practice address
1545 NEWPORT BLVD, COSTA MESA, CA 92627-3714
(949) 548-2700
Mailing address
PO BOX 986, CORONA DEL MAR, CA 92625-5986
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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