Laguna Beach Recovery

LBN: Laguna Beach Recovery
Laguna Beach Recovery is an health care organization with primary practice located at 316 Thalia St , Laguna Beach CA 92651-2714. 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. Laguna Beach Recovery can be contacted via phone (866) 493-4527, or through Kisner, Mark Ronald via phone (714) 913-0852.

Contact Information

Primary practice address
316 Thalia St Laguna Beach CA 92651-2714
Phone: (866) 493-4527
Fax: (949) 497-3687
Website:
Map and Directions
Authorized official contact:
Name: Kisner, Mark Ronald MSW, CADC-II
Phone: (714) 913-0852

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 300197AP California

Profile Details

NPI number 1265680953
LBN Legal business name Laguna Beach Recovery
DBA Doing business as
Authorized official Kisner, Mark Ronald MSW, CADC-II
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2008
Last updated Sep 5th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265680953 NPPES
California Other 300197AP LICENSE/CERTIFICATION DRUG AND ALCOHOL

Popular Providers