Organization
LIBERTY HOUSE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY LEIGH URSICH (CEO)
(909) 754-1712
Entity
Organization
Contact information
Practice address
710 THE TER, REDLANDS, CA 92374-4465
(909) 754-1712
Mailing address
PO BOX 207, LAKE ARROWHEAD, CA 92352-0207
(909) 754-1712
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
03/16/2022
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