FRIENDLY RECOVERY CENTER LLC NPI 1073372744

NPI Information

NPI: 1073372744
Provider Name: FRIENDLY RECOVERY CENTER, LLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: FRIENDLY RECOVERY CENTER
CLIA Number: 05D2304975
Address: 15991 RED HILL AVE STE 101
TUSTIN, CA
ZIP 92780
Phone: (657) 218-9125

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NPI Details

FRIENDLY RECOVERY CENTER, LLC is a mental health (including community mental health center) clinic center in Tustin, CA. FRIENDLY RECOVERY CENTER, LLC NPI is 1073372744. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Friendly Recovery Center.

The provider's business location address is:

15991 RED HILL AVE STE 101
TUSTIN, CA
ZIP 92780-320
Phone: (657) 218-9125
Fax: (949) 781-4526

The provider's authorized official is David Ham .
The authorized official title is Chief Executive Officer and has the following contact phone number (657) 218-9125.

The CLIA number assigned to this NPI record is 05D2304975 - other - substance use disorder tr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2024 and was last updated on 11/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	171400000X	Health and Wellness Coach		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	No
6	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
7	324500000X	Substance Abuse Rehabilitation Facility		No
8	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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