Organization
LOTUS PLACE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI K. WELLS LMFT (CLINICAL DIRECTOR)
(415) 722-5063
Entity
Organization
Contact information
Practice address
16480 HARBOR BLVD STE 200, FOUNTAIN VALLEY, CA 92708-1361
(714) 884-4408
(949) 835-4181
Mailing address
16480 HARBOR BLVD STE 200, FOUNTAIN VALLEY, CA 92708-1361
(714) 884-4408
(949) 835-4181
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
04/26/2018
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