Organization
ELEVEN 11 RECOVERY LLC
Active
Other names
Eleven 11 Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JORDAN (CEO)
(619) 592-3558
Entity
Organization
Contact information
Practice address
647 CAMINO DE LOS MARES STE 221, SAN CLEMENTE, CA 92673-2807
(949) 735-5167
Mailing address
647 CAMINO DE LOS MARES STE 221, SAN CLEMENTE, CA 92673-2807
(949) 735-5167
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2022
Last updated
04/18/2026
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