| Lead Recovery Center | |
|
3151 Airway Ave Ste F107 Costa Mesa CA 92626-4623 | |
| (714) 964-6730 | |
| (714) 964-4382 |
| Full Name | Lead Recovery Center |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 3151 Airway Ave Ste F107, Costa Mesa, California |
| Authorized Official Name and Position | Nanette Zumwalt (CEO/OWNER) |
| Authorized Official Contact | 7149646730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lead Recovery Center 21062 Brookhurst St Ste 201 Huntington Beach CA 92646-7404 Ph: (714) 964-6730 | Lead Recovery Center 3151 Airway Ave Ste F107 Costa Mesa CA 92626-4623 Ph: (714) 964-6730 |
| NPI Number | 1053704569 |
|---|---|
| Provider Enumeration Date | 03/08/2015 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053704569 | 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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