Positive Recovery Center

LBN: Positive Recovery Center
Positive Recovery Center is an health care organization with primary practice located at 17291 Irvine Blvd Ste 104 , Tustin CA 92780-2929. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Positive Recovery Center can be contacted via phone (714) 730-0505, or through Cordova, Ana M via phone (714) 730-0505.

Contact Information

Primary practice address
17291 Irvine Blvd Ste 104 Tustin CA 92780-2929
Phone: (714) 730-0505
Fax: (714) 730-0113
Website:
Map and Directions
Authorized official contact:
Name: Cordova, Ana M
Phone: (714) 730-0505

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY6949 California
Behavioral Health & Social Service Providers / Health Service 103TH0100X PSY6949 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X PSY6949 California

Profile Details

NPI number 1467720243
LBN Legal business name Positive Recovery Center
DBA Doing business as
Authorized official Cordova, Ana M
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2011
Last updated Dec 7th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467720243 NPPES
California Other PSY6949 BLUE CROSS/BLUE SHIELD PPO
California Other PSY6949 BLUE CROSS/BLUE SHIELD PPO
California Other PSY6949 BLUE CROSS/BLUE SHIELD PPO

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