Organization
MENDING BRIDGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL ANGEL URETA JR. (CEO)
(657) 216-4133
Entity
Organization
Contact information
Practice address
25466 GLORIOSA DR, MISSION VIEJO, CA 92691-4642
(657) 216-4133
Mailing address
1082 FERNLEAF LN, CORONA, CA 92881-3677
(657) 216-4133
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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