Healthcare Provider Details
I. General information
NPI: 1366043937
Provider Name (Legal Business Name): A BETTER LIFE RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/02/2020
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26065 WATERWHEEL PL
LAGUNA HILLS CA
92653-6114
US
IV. Provider business mailing address
30310 RANCHO VIEJO RD
SAN JUAN CAPISTRANO CA
92675-1576
US
V. Phone/Fax
- Phone: 833-589-5150
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 323P00000X |
| Taxonomy | Psychiatric Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
FARBMAN
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 949-301-2863