Crest Recovery LLC
Substance Abuse Rehabilitation Facility in Mission Viejo, CA. Organization (NPI-2).
NPI number1124593371
StatusActive
Last updated in NPPESApr 8, 2020
Details
- NPI
- 1124593371
- Entity type
- Organization (NPI-2)
- Legal business name
- Crest Recovery LLC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2018
- Certification date
- Apr 8, 2020
- Last updated
- Apr 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Truvida Recovery (Doing Business As)
Practice location
24731 Via San FernandoMission Viejo, CA 92692-2431
Phone 949-283-4679
Mailing address
23726 Birtcher DrLake Forest, CA 92630-1771
Phone 949-283-4679
Authorized official
Ceaira Coffin
Billing Director
8332330091
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All 28 Substance Abuse Rehabilitation Facility providers in Mission Viejo · All 2,975 providers in Mission Viejo
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