Provider Demographics
NPI:1598459869
Name:WORTHY RECOVERY CENTER, LLC
Entity Type:Organization
Organization Name:WORTHY RECOVERY CENTER, LLC
Other - Org Name:WORTHY WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-579-2642
Mailing Address - Street 1:PO BOX 459
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92018-0459
Mailing Address - Country:US
Mailing Address - Phone:760-579-2642
Mailing Address - Fax:
Practice Address - Street 1:2562 STATE ST STE D
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1663
Practice Address - Country:US
Practice Address - Phone:760-579-2642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder