| Experience Recovery Iop | |
|
5405 Garden Grove Blvd Ste 101 Westminster CA 92683-1887 | |
| (714) 713-5272 | |
| Not Available |
| Full Name | Experience Recovery Iop |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 5405 Garden Grove Blvd Ste 101, Westminster, California |
| Authorized Official Name and Position | Ann Premazon (OWNER) |
| Authorized Official Contact | 7148651052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Experience Recovery Iop 3919 W Hazard Ave Santa Ana CA 92703-2625 Ph: (714) 865-1052 | Experience Recovery Iop 5405 Garden Grove Blvd Ste 101 Westminster CA 92683-1887 Ph: (714) 713-5272 |
| NPI Number | 1235661315 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 11/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235661315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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