| Modern Recovery Inc. | |
|
4199 Campus Dr Ste 550 Irvine CA 92612-4694 | |
| (844) 991-0555 | |
| Not Available |
| Full Name | Modern Recovery Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4199 Campus Dr Ste 550, Irvine, California |
| Authorized Official Name and Position | Andre Bahbah (DIRECTOR OF RCM) |
| Authorized Official Contact | 8449910555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Recovery Inc. 4199 Campus Dr Ste 550 Irvine CA 92612-4694 Ph: () - | Modern Recovery Inc. 4199 Campus Dr Ste 550 Irvine CA 92612-4694 Ph: (844) 991-0555 |
| NPI Number | 1013676634 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/10/2021 |
| Certification Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013676634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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