Healthcare Provider Details

I. General information

NPI: 1316867567
Provider Name (Legal Business Name): ABOVE ALL ELSE RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 BERNARD ST
COSTA MESA CA
92627-2658
US

IV. Provider business mailing address

546 BERNARD ST
COSTA MESA CA
92627-2658
US

V. Phone/Fax

Practice location:
  • Phone: 714-308-7370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER FREEMAN
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 714-308-7370