REFRESH RECOVERY LLC (NPI# 1891320099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891320099 |
| Entity Type | Organization |
| Organization Name | REFRESH RECOVERY LLC |
| Practice Address |
4141 Jutland Dr Ste 110 San Diego CA 92117-3658 |
| Mailing Address |
7660 Fay Ave # H205 La Jolla CA 92037-0021 |
| Practice Telephone | 8583457926 |
| Mailing Telephone | 8583457926 |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | DANIEL SIMONS (CEO) |
| Authorized Official Telephone | 6194551318 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
4141 JUTLAND DR STE 110 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-3658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1477115525 | Lifemark Solutions LLC | Clinic/Center | 3065 Rosecrans Pl Ste 202, San Diego, CA 92110-4822 | 2019-06-28 |
| 1497230429 | Ethridge Recovery Center | Clinic/Center | 405 63rd St, San Diego, CA 92114-4237 | 2018-09-25 |
| 1023595519 | Holistix Treatment Centers LLC | Clinic/Center | 6310 Alvarado Ct, San Diego, CA 92120-4902 | 2018-07-26 |
| 1386148625 | Sober Life Recovery Solutions LLC | Clinic/Center | 1446 Front St Ste 400, San Diego, CA 92101-3425 | 2018-03-21 |
| 1124539960 | Crash, Inc. | Clinic/Center | 835 25th St, San Diego, CA 92102-2738 | 2017-10-19 |
| 1538611165 | The Betty Ford Center At San Diego | Clinic/Center | 11720 El Camino Real, Suite 200, San Diego, CA 92130-2224 | 2016-10-31 |
| 1730552084 | San Diego Student Recovery, LLC | Clinic/Center | 5440 Morehouse Dr Ste 4500, San Diego, CA 92121-6724 | 2015-11-09 |
| 1841699352 | Community Behavioral Health Solutions, Inc | Clinic/Center | 7071 Consolidated Way, San Diego, CA 92121 | 2014-08-20 |
| 1700989829 | San Diego Health Alliance | Clinic/Center | 7545 Metropolitan Dr, San Diego, CA 92108-4402 | 2006-09-06 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.