Healthcare Provider Details

I. General information

NPI: 1598459869
Provider Name (Legal Business Name): WORTHY RECOVERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2562 STATE ST STE D
CARLSBAD CA
92008-1663
US

IV. Provider business mailing address

PO BOX 459
CARLSBAD CA
92018-0459
US

V. Phone/Fax

Practice location:
  • Phone: 760-579-2642
  • Fax:
Mailing address:
  • Phone: 760-579-2642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SALVADOR MENDOZA
Title or Position: COO
Credential:
Phone: 760-579-2642