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Orange County Revive Services, Inc.
Mental Illness Community Based Residential Treatment Facility in Lake Forest, California
NPI 1306543962

Orange County Revive Services, Inc. is a Mental Illness Community Based Residential Treatment Facility based in Lake Forest, CA. Orange County Revive Services, Inc. practices in Lake Forest, CA. The NPI Number for Orange County Revive Services, Inc. is 1306543962 and holds a License No. (California).

The current practice location address for Orange County Revive Services, Inc. is 23726 Birtcher Dr, Lake Forest, CA and can be reached out via phone at 949-606-4681.

Location: 23726 Birtcher Dr, Lake Forest, CA, 92630-1771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306543962
Provider Name
Orange County Revive Services, Inc.
Credential
Provider Entity Type
Organization
Address
23726 Birtcher Dr, Lake Forest, CA, 92630-1771
Phone Number
949-606-4681
Fax Number
Provider Enumeration Date
02/14/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
23726 Birtcher Dr
City
Lake Forest
State
California
Zip
92630-1771
Phone Number
949-606-4681
Fax Number
person
Provider Business Mailing Address Details
Address
23726 Birtcher Dr
City
Lake Forest
State
California
Zip
92630-1771
Phone Number
949-606-4681
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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