| Whole Life Recovery, Llc | |
|
32122 Camino Capistrano Suite 100 San Juan Capistrano CA 92675-3734 | |
| (949) 294-5104 | |
| Not Available |
| Full Name | Whole Life Recovery, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 32122 Camino Capistrano, San Juan Capistrano, California |
| Authorized Official Name and Position | Melody Joy Stone (PROGRAM DIRECTOR/THERAPIST) |
| Authorized Official Contact | 9492945104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Life Recovery, Llc 32122 Camino Capistrano Suite 100 San Juan Capistrano CA 92675-3734 Ph: (949) 294-5104 | Whole Life Recovery, Llc 32122 Camino Capistrano Suite 100 San Juan Capistrano CA 92675-3734 Ph: (949) 294-5104 |
| NPI Number | 1629451661 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629451661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 84751 (California) | Primary |
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