Organization
EMBRACE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM OFFERDAHL (OWNER)
(949) 525-3696
Entity
Organization
Contact information
Practice address
23232 PERALTA DR, SUITE 219, LAGUNA HILLS, CA 92653-1443
(949) 525-3696
(949) 448-9710
Mailing address
23232 PERALTA DR, SUITE 219, LAGUNA HILLS, CA 92653-1443
(949) 525-3696
(949) 448-9710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
970117
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
07/29/2010
Last updated
01/04/2013
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