Organization
REFRESH RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SIMONS (CEO)
(619) 455-1318
Entity
Organization
Contact information
Practice address
4141 JUTLAND DR STE 110, SAN DIEGO, CA 92117-3658
(619) 455-1318
Mailing address
7660 FAY AVE # H205, LA JOLLA, CA 92037-0021
(858) 455-1318
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/08/2020
Last updated
04/13/2021
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