Organization · Type 2 NPI
Impact Recovery
Mental Health Clinic/Center (Including Community Mental Health Center) · Laguna Niguel, CA
NPI number
1164907234
Active
Practice location
28202 Cabot Road, Suite 331
Laguna Niguel, CA 92677-1222
Fax (949) 248-2870
Mailing address
PO Box 1449
San Juan Capistrano, CA 92693-1449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1164907234
Impact Recovery's National Provider Identifier is 1164907234, issued on Sep 25, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Laguna Niguel, CA. The record was last updated on Feb 11, 2022.