Healthcare Provider Details

I. General information

NPI: 1366372013
Provider Name (Legal Business Name): THE DISTRICT RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 1/2 N HARVARD BLVD
LOS ANGELES CA
90029-3315
US

IV. Provider business mailing address

10175 SLATER AVE STE 111
FOUNTAIN VALLEY CA
92708-4702
US

V. Phone/Fax

Practice location:
  • Phone: 949-467-4801
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMIE COURTNEY
Title or Position: HUMAN RESOURCES
Credential:
Phone: 949-467-4801