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ELEVEN 11 RECOVERY LLC 1881336931

Overview
Name: ELEVEN 11 RECOVERY LLC Specialty: Substance Use Disorder Rehabilitation Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Rehabilitation, Substance Use Disorder. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: ELEVEN 11 RECOVERY LLC,647 CAMINO DE LOS MARES STE 221,SAN CLEMENTE,CA,926732807,US Mailing Address: ELEVEN 11 RECOVERY LLC,647 CAMINO DE LOS MARES STE 221,SAN CLEMENTE,CA,926732807,US
Contact #
Practice location phone #: 9497355167 Practice location fax #: Mailing address Phone #: 9497355167 Mailing Address fax #: Authorized official Name/Telephone #:MS., FARAH, RAGAN, LMFT, CLINICAL DIRECTOR 9497355167
Misc
Date NPI was obtained: 04/10/2022 Last data data was updated: 04/10/2022 Insurances:

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