Experience Recovery Detox & Residential Llc.

LBN: Experience Recovery Detox & Residential Llc.
Experience Recovery Detox & Residential Llc. is an health care organization with primary practice located at 3919 W Hazard Ave , Santa Ana CA 92703-2625. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Experience Recovery Detox & Residential Llc. can be contacted via phone (714) 713-5272, or through Dockery, Jean Ann via phone (800) 870-3973.

Contact Information

Primary practice address
3919 W Hazard Ave Santa Ana CA 92703-2625
Phone: (714) 713-5272
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dockery, Jean Ann
Phone: (800) 870-3973

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1194250258
LBN Legal business name Experience Recovery Detox & Residential Llc.
DBA Doing business as
Authorized official Dockery, Jean Ann
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2017
Last updated Feb 13th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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