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NPI 1548882004

NPI 1548882004 : A BETTER LIFE RECOVERY LLC : SAN JUAN CAPISTRANO, CA

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General NPI Number Information
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    NPI Number           |    1548882004
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    Entity Type          |    Organization 
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    Legal Business Name  |    A BETTER LIFE RECOVERY LLC 
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Dates
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    Enumeration Date     |    05/07/2020
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    Last Update Date     |    06/25/2025
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Provider Practice Location Address
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    Address Line         |    26972 VIA BANDERAS 
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    City                 |    SAN JUAN CAPISTRANO
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    State                |    CA
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    Zip                  |    92675-5033
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    Country              |    US
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    Telephone            |    833-589-5150
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    30310 RANCHO VIEJO RD 
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    City                 |    SAN JUAN CAPISTRANO
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    State                |    CA
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    Zip                  |    92675-1576
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF BILLING
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    Name                 |     JEFFREY  FARBMAN 
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    Credential           |    
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    Telephone            |    949-301-2863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    323P00000X
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    Taxonomy Name        |    Psychiatric Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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