Healthcare Provider Details

I. General information

NPI: 1063331882
Provider Name (Legal Business Name): ENGRAVE RECOVERY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23072 LAKE CENTER DR STE 203
LAKE FOREST CA
92630-2864
US

IV. Provider business mailing address

23072 LAKE CENTER DR STE 203
LAKE FOREST CA
92630-2864
US

V. Phone/Fax

Practice location:
  • Phone: 949-775-3363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JACKIE BAHU
Title or Position: COO
Credential:
Phone: 949-899-7750