Provider Demographics
NPI:1568700136
Name:GET REAL RECOVERY INC.
Entity Type:Organization
Organization Name:GET REAL RECOVERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-343-8684
Mailing Address - Street 1:30290 RANCHO VIEJO RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-1577
Mailing Address - Country:US
Mailing Address - Phone:310-343-8684
Mailing Address - Fax:
Practice Address - Street 1:30290 RANCHO VIEJO RD
Practice Address - Street 2:SUITE 204
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-1577
Practice Address - Country:US
Practice Address - Phone:310-343-8684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300252AP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility