CREST RECOVERY LLC NPI 1629543863

NPI Information

NPI: 1629543863
Provider Name: CREST RECOVERY LLC

Doing Business As: TRUVIDA RECOVERY

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
23726 BIRTCHER DR
LAKE FOREST, CA
ZIP 92630
Phone: (949) 283-4679
Get Directions

CREST RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Lake Forest, CA. CREST RECOVERY LLC NPI is 1629543863. The provider is registered as an organization entity type.
The provider Is Doing Business As Truvida Recovery.

The provider's business location address is:

23726 BIRTCHER DR
LAKE FOREST, CA
ZIP 92630-771
Phone: (949) 283-4679

The provider's authorized official is Ceaira Coffin .
The authorized official title is Billing Director and has the following contact phone number (833) 233-0091.

The enumeration date for this NPI number is 10/3/2018 and was last updated on 4/8/2020.

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	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300351BP	OTHER	CALIFORNIA	DHCS

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »