Friendly Recovery Center, Llc

LBN: Friendly Recovery Center, Llc
Friendly Recovery Center, Llc is an health care organization with primary practice located at 17601 17Th St Ste 120 , Tustin CA 92780-1946. The organization recently has 7 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Friendly Recovery Center, Llc can be contacted via phone (657) 218-9125, or through Ham, David via phone (657) 218-9125.

Contact Information

Primary practice address
17601 17Th St Ste 120 Tustin CA 92780-1946
Phone: (657) 218-9125
Fax: (714) 455-7260
Website:
Map and Directions
Authorized official contact:
Name: Ham, David MBA
Phone: (657) 218-9125

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1073372744
LBN Legal business name Friendly Recovery Center, Llc
DBA Doing business as
Authorized official Ham, David MBA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2024
Last updated Mar 19th, 2024 - about 9 months 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.

Request for update

Popular Providers