FRIENDLY RECOVERY CENTER
NPI 1073372744
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tustin, CA

Q: What is Friendly Recovery Center, LLC's NPI number?

The NPI number for Friendly Recovery Center, LLC is 1073372744. It was assigned to this organization in the NPPES registry on March 15, 2024. The provider is doing business as Friendly Recovery Center.

Q: What is Friendly Recovery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since March 15, 2024CLIA 05D2304975 · Waiver

15991 RED HILL AVE STE 101, TUSTIN, CA 92780(657) 218-9125(949) 781-4526 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Friendly Recovery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRIENDLY RECOVERY CENTER (NPI 1073372744) is a healthcare organization registered as a mental health (including community mental health center) in Tustin, California and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists David Ham, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1073372744

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameFRIENDLY RECOVERY CENTER, LLC

Location Address15991 RED HILL AVE STE 101Tustin, CA 92780-7320

Mailing Address13681 Newport Ave Ste 8614Tustin, CA 92780-4689 · (657) 218-9125 · Fax (714) 455-7260

Phone(657) 218-9125

Fax(949) 781-4526

Organization SubpartNo

Authorized OfficialDavid HamChief Executive Officer · (657) 218-9125

Enumeration DateMarch 15, 2024

Last NPPES UpdateNovember 22, 2024

NPPES CertifiedNovember 22, 2024

✔ NPI 1073372744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedHealth and Wellness CoachTaxonomy 171400000X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy 261QR0401X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X

15991 RED HILL AVE STE 101, Tustin, CA 92780

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Other Names 1

Doing Business AsFriendly Recovery Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2304975

Friendly Recovery Center · Tustin, CA

Active · expires May 20, 2028

CLIA Number05D2304975

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateMay 21, 2026

Certificate Expiration DateMay 20, 2028

Laboratory DirectorWarren Taff

Laboratory Phone(657) 218-9125

Laboratory LocationFriendly Recovery Center15591 Red Hill Avenue Suite 101, Tustin, CA 92780

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORANGE COUNTY COUNSELING LICENSED CLINICAL SOCIAL WORKER PROF CORP

Counselor (Mental Health)

15991 RED HILL AVE STE 101
TUSTIN, CA 92780

Orange County (657) 695-1938

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Friendly Recovery Center, LLC's NPI number?

The NPI number for Friendly Recovery Center, LLC is 1073372744. It was assigned to this organization in the NPPES registry on March 15, 2024. The provider is doing business as Friendly Recovery Center.

Where is Friendly Recovery Center, LLC located?

Friendly Recovery Center, LLC is located at 15991 Red Hill Ave Ste 101, Tustin, CA 92780. The listed phone number is (657) 218-9125.

What is Friendly Recovery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Friendly Recovery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2304975) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Friendly Recovery Center, LLC was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.