Orange County Revive Services, Inc.
NPI #1306543962 in Lake Forest, California
Provider Information
- NPI Number
- 1306543962
- Entity Type
- Organization
- Organization Name
- Orange County Revive Services, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ORANGE COUNTY REVIVE SERVICES, INC.
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Feb 14, 2023
- Last Updated
- Feb 14, 2023
Practice Location
- Address
- 23726 BIRTCHER DR
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-1771
- Phone
- (949) 606-4681
Authorized Official
- Name
- TYLER MICHAELIS
- Title
- CEO
- Phone
- (949) 606-4681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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