Organization · NPI-2

Crest Recovery LLC

Substance Abuse Rehabilitation Facility · Mission Viejo, CA

NPI number1023658200
StatusActive
Last updated in NPPESApr 8, 2020

Details

NPI
1023658200
Entity type
Organization (NPI-2)
Legal business name
Crest Recovery LLC
Organization subpart
No
Enumeration date
Jan 15, 2020
Certification date
Apr 8, 2020
Last updated
Apr 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Other names

  • Truvida Recovery (Doing Business As)

Practice location

24316 Via Madrugada
Mission Viejo, CA 92692-1910

Phone 833-233-0091 · Fax 949-607-3118

Mailing address

23726 Birtcher Dr
Lake Forest, CA 92630-1771

Phone 949-612-5097 · Fax 949-607-3118

Authorized official

Ceaira Coffin
Billing Director
8332330091

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