| Rebecca's House | |
|
23861 El Toro Rd Fl 7 Lake Forest CA 92630-4732 | |
| (800) 711-2630 | |
| Not Available |
| Full Name | Rebecca's House |
|---|---|
| Speciality | Counselor |
| Location | 23861 El Toro Rd Fl 7, Lake Forest, California |
| Authorized Official Name and Position | Rebecca Cooper (FOUNDER, DIRECTOR) |
| Authorized Official Contact | 18007112062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca's House 23861 El Toro Rd Fl 7 Lake Forest CA 92630-4732 Ph: () - | Rebecca's House 23861 El Toro Rd Fl 7 Lake Forest CA 92630-4732 Ph: (800) 711-2630 |
| NPI Number | 1992009286 |
|---|---|
| Provider Enumeration Date | 12/31/2010 |
| Last Update Date | 12/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992009286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
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