Mjde LLC
Counselor, Addiction (Substance Use Disorder) in Hemet, CA. Organization (NPI-2).
NPI number1295413425
StatusActive
Last updated in NPPESOct 25, 2023
Details
- NPI
- 1295413425
- Entity type
- Organization (NPI-2)
- Legal business name
- Mjde LLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2023
- Certification date
- Oct 25, 2023
- Last updated
- Oct 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 261QR0800X | Clinic/Center, Recovery Care | – | – | |
| 251B00000X | Case Management | – | – |
Other names
- Royal Oak Recovery LLC (Doing Business As)
Practice location
25548 White Oak DrHemet, CA 92544-5366
Phone 760-468-4444
Mailing address
23327 Saratoga Springs PlMurrieta, CA 92562-4803
Phone 760-468-3444
Authorized official
Shey Waldrop
Program Director
7604683444
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