05D2280455 CLIA NUMBER - TRUE RECOVERY LP

Laboratory Demographics

CLIA Number: 05D2280455

Facility Name: TRUE RECOVERY LP

Facility Address:
20112 VIVA CIRCLE
HUNTINGTON BEACH, CA
ZIP 92646
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Facility Phone Number: 949 864-6250

Facility Type: Other - SUBSTANCE ABUSE FACILITY

Certificate Type: Waiver

NPI Number: 1043845647

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	05D2280455
LAB Type	Other - SUBSTANCE ABUSE FACILITY
Facility Name	TRUE RECOVERY LP
Street	20112 VIVA CIRCLE
City	HUNTINGTON BEACH
State	CA
ZIP	92646
Phone	949 864-6250
CertificateType	4
CertificateEffectiveDate	4/19/2023
CertificateExpirationDate	4/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024