| NPI | 1881336931 |
|---|---|
| Doing Business As | ELEVEN 11 RECOVERY |
| Entity Type | Organization |
| Authorized Contact | HAYDEN MOSER Billing Director 949-446-6281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2023-08-24 |