Organization · NPI-2

Crest Recovery LLC

Substance Abuse Rehabilitation Facility · Mission Viejo, CA

NPI number1316402225
StatusActive
Last updated in NPPESApr 8, 2020

Details

NPI
1316402225
Entity type
Organization (NPI-2)
Legal business name
Crest Recovery LLC
Organization subpart
No
Enumeration date
Feb 5, 2019
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

26886 Pueblonuevo Dr
Mission Viejo, CA 92691-4410

Phone 949-283-4679

Mailing address

23726 Birtcher Dr
Lake Forest, CA 92630-1771

Phone 949-283-4679

Authorized official

Ceaira Coffin
Billing Director
8332330091

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