| Bridge Teen Recovery, Llc | |
|
23151 Verdugo Dr 115 Laguna Hills CA 92653-1349 | |
| (949) 716-4623 | |
| Not Available |
| Full Name | Bridge Teen Recovery, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23151 Verdugo Dr, Laguna Hills, California |
| Authorized Official Name and Position | Gregory N. Lebon (OWNER) |
| Authorized Official Contact | 9497164623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Teen Recovery, Llc 23151 Verdugo Dr 115 Laguna Hills CA 92653-1349 Ph: (949) 716-4623 | Bridge Teen Recovery, Llc 23151 Verdugo Dr 115 Laguna Hills CA 92653-1349 Ph: (949) 716-4623 |
| NPI Number | 1124327481 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 03/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124327481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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