Provider Demographics
NPI:1588042873
Name:RNR RECOVERY INC
Entity Type:Organization
Organization Name:RNR RECOVERY INC
Other - Org Name:DIAMOND RECOVERY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:REINER
Authorized Official - Middle Name:
Authorized Official - Last Name:NUSBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-235-8258
Mailing Address - Street 1:806 AVENIDA PICO
Mailing Address - Street 2:SUITE I-284
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-5639
Mailing Address - Country:US
Mailing Address - Phone:949-235-8258
Mailing Address - Fax:866-703-9903
Practice Address - Street 1:29204 SHIPWRIGHT DR
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92585-3433
Practice Address - Country:US
Practice Address - Phone:949-235-8258
Practice Address - Fax:866-703-9903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
330126AP101YA0400X
CA330126AP101YM0800X, 101YP2500X, 106H00000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty