| NPI | 1912751231 |
|---|---|
| Doing Business As | MISSION RECOVERY HOME |
| Entity Type | Organization |
| Authorized Contact | METRA AZAR-SALEM Officer 949-322-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-03-01 |