| Changes For Recovery | |
|
300 N Tustin Ave Suite 201 Santa Ana CA 92705-3820 | |
| (714) 541-4007 | |
| (714) 541-2770 |
| Full Name | Changes For Recovery |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 300 N Tustin Ave, Santa Ana, California |
| Authorized Official Name and Position | Milton Mucker (OWNER/PROGRAM DIRECTOR) |
| Authorized Official Contact | 7145414007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changes For Recovery 300 N Tustin Ave Suite 201 Santa Ana CA 92705-3820 Ph: (714) 541-4007 | Changes For Recovery 300 N Tustin Ave Suite 201 Santa Ana CA 92705-3820 Ph: (714) 541-4007 |
| NPI Number | 1881774073 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881774073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300097BP (California) | Primary |
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