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General NPI Number Information
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NPI Number | 1962549295
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Entity Type | Organization
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Legal Business Name | RECOVERY HOMES OF AMERICA INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 13671 ROSALIND DR
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City | TUSTIN
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State | CA
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Zip | 92780-1924
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Country | US
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Telephone | 714-547-5375
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Fax | 714-541-3320
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Provider Business Mailing Address
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Address Line | 1950 E 17TH STREET SUITE 150
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City | SANTA ANA
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State | CA
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Zip | 92705-6852
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Country | US
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Telephone | 714-547-4300
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Fax | 714-689-0012
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Authorized Official
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Title or Position | EXEC VICE PRESIDENT
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Name | SAMANTHA STONE
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Credential |
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Telephone | 714-547-5375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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