| Southern California Sunrise Recovery Center | |
|
25681 Sabina Ave Mission Viejo CA 92691-3914 | |
| (949) 533-3046 | |
| Not Available |
| Full Name | Southern California Sunrise Recovery Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 25681 Sabina Ave, Mission Viejo, California |
| Authorized Official Name and Position | Michael Villarreal (COO) |
| Authorized Official Contact | 9495333046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Sunrise Recovery Center 28562 Oso Pkwy # D-313 Rancho Santa Margarita CA 92688-5595 Ph: (949) 533-3046 | Southern California Sunrise Recovery Center 25681 Sabina Ave Mission Viejo CA 92691-3914 Ph: (949) 533-3046 |
| NPI Number | 1891271144 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891271144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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