| NPI | 1225452691 |
|---|---|
| Doing Business As | "SOUTH CALIFORNIA ROAD TO RECOVERY" |
| Entity Type | Organization |
| Authorized Contact | ANGELIKA PANOVA Executive Manager 714-887-3816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 330128AP) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 49586) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 804708) | |
| 163WC0400X Registered Nurse, Case Management (Licence: CA 804708) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2024-09-05 |