Provider Demographics
NPI:1821699125
Name:A BETTER LIFE RECOVERY LLC
Entity Type:Organization
Organization Name:A BETTER LIFE RECOVERY LLC
Other - Org Name:A MISSION FOR MICHAEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:FARBMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-424-9921
Mailing Address - Street 1:30310 RANCHO VIEJO RD
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-1576
Mailing Address - Country:US
Mailing Address - Phone:949-313-7444
Mailing Address - Fax:949-579-2876
Practice Address - Street 1:28334 PASEO MICHELLE
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-5523
Practice Address - Country:US
Practice Address - Phone:949-313-7444
Practice Address - Fax:949-579-2876
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A BETTER LIFE RECOVERY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-03
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMHBT200344OtherCALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES
CA306005893OtherCALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CA578314OtherTHE JOINT COMMISSION