| Zen Recovery,llc | |
|
126 E 16th St Costa Mesa CA 92627-7704 | |
| (949) 940-5445 | |
| (877) 637-8749 |
| Full Name | Zen Recovery,llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 126 E 16th St, Costa Mesa, California |
| Authorized Official Name and Position | Helen M Carver (CEO) |
| Authorized Official Contact | 8007591930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zen Recovery,llc 126 E 16th St Costa Mesa CA 92627-7704 Ph: (949) 940-5445 | Zen Recovery,llc 126 E 16th St Costa Mesa CA 92627-7704 Ph: (949) 940-5445 |
| NPI Number | 1386907418 |
|---|---|
| Provider Enumeration Date | 06/22/2012 |
| Last Update Date | 03/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386907418 | NPI | - | NPPES |
| 1154559433 | Other | CA | STATE OF CALIFORNIA |
| 1013029172 | Other | CA | BBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 300260AP (California) | Primary |
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