Organization
MORNINGSIDE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL EDWARDS (EXECUTIVE DIRECTOR)
(949) 675-0006
Entity
Organization
Contact information
Practice address
1400 REYNOLDS AVE, SUITE 200, IRVINE, CA 92614-5559
(949) 675-0006
(949) 675-0007
Mailing address
1400 REYNOLDS AVE, SUITE 200, IRVINE, CA 92614-5559
(949) 675-0006
(949) 675-0007
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300168IP
CA
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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