Healthcare Provider Details

I. General information

NPI: 1982517793
Provider Name (Legal Business Name): COMPASSION RECOVERY CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24159 MAGIC MOUNTAIN PKWY
VALENCIA CA
91355-3904
US

IV. Provider business mailing address

23141 MOULTON PKWY STE 207
LAGUNA HILLS CA
92653-1204
US

V. Phone/Fax

Practice location:
  • Phone: 877-414-3007
  • Fax: 714-908-8477
Mailing address:
  • Phone: 877-414-3007
  • Fax: 714-908-8477

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: JOSHUA EUGENE MARQUEZ
Title or Position: CEO
Credential:
Phone: 877-414-3007