Organization
TRUE LIFE RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYDEN MOSER (BILLING MANAGER)
(949) 446-6281
Entity
Organization
Contact information
Practice address
16832 MAPLE ST, FOUNTAIN VALLEY, CA 92708-2227
(949) 520-0350
Mailing address
PO BOX 3097, NEWPORT BEACH, CA 92659-0639
(949) 520-0530
(949) 271-4871
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300631AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300631AP
CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
06/24/2016
Last updated
07/20/2023
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