Provider Demographics
NPI:1871001081
Name:ASCENSION RECOVERY INC.
Entity Type:Organization
Organization Name:ASCENSION RECOVERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-485-0096
Mailing Address - Street 1:10900 WARNER AVE STE 121
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3846
Mailing Address - Country:US
Mailing Address - Phone:800-590-1989
Mailing Address - Fax:
Practice Address - Street 1:6475 MARIGAYLE CIR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-6729
Practice Address - Country:US
Practice Address - Phone:949-485-0096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility