Organization Name: | ABLE TO CHANGE RECOVERY, INC. |
NPI Number: | 1083757041 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARRY LARABEE (PROGRAM DIRECTOR) |
Mailing Address: | 31461 Rancho Viejo Rd #105 San Juan Capistrano |
State: | CA US |
Postal Code: | 926751864 |
Phone Number: | 9494936800 |
Fax Number: | 9494936832 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 04/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 300118BP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |