| NPI | 1124717764 |
|---|---|
| Doing Business As | 405 RECOVERY |
| Entity Type | Organization |
| Authorized Contact | NICHOLASBEETS BEETS Director 949-933-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |