| Buckeye Recovery Network, Llc | |
|
19322 Beach Blvd Huntington Beach CA 92648 | |
| (949) 515-9195 | |
| (949) 515-9193 |
| Full Name | Buckeye Recovery Network, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 19322 Beach Blvd, Huntington Beach, California |
| Authorized Official Name and Position | Ryan Stump (COO) |
| Authorized Official Contact | 2024413570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Recovery Network, Llc 19322 Beach Blvd. Huntington Beach CA 92648 Ph: (949) 515-9195 | Buckeye Recovery Network, Llc 19322 Beach Blvd Huntington Beach CA 92648 Ph: (949) 515-9195 |
| NPI Number | 1811268113 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 11/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811268113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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