SULLIVANS DETOX AND RESIDENTIAL TREATMENT LLC
NPI 1801670997
Substance Abuse Rehabilitation Facility in Mission Viejo, CA

Q: What is Sullivans Detox And Residential Treatment LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since August 21, 2023

24731 VIA SAN FERNANDO, MISSION VIEJO, CA 92692(949) 735-1576 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sullivans Detox And Residential Treatment Llc NPPES

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

SULLIVANS DETOX AND RESIDENTIAL TREATMENT LLC (NPI 1801670997), doing business as Sullivan Recovery, is a healthcare organization registered as a substance abuse rehabilitation facility in Mission Viejo, California and active in the NPI registry since August 2023. The organization lists Cory Sullivan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801670997

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSULLIVANS DETOX AND RESIDENTIAL TREATMENT LLC

Location Address24731 VIA SAN FERNANDOMission Viejo, CA 92692-2431

Mailing Address943 Congress StCosta Mesa, CA 92627-3339 · (714) 757-7266

Phone(949) 735-1576

Organization SubpartNo

Authorized OfficialCory SullivanCeo · (714) 757-7266

Enumeration DateAugust 21, 2023

NPPES CertifiedAugust 10, 2023

✔ NPI 1801670997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

24731 VIA SAN FERNANDO, Mission Viejo, CA 92692

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Other Names 1

Doing Business AsSullivan Recovery

Other Providers at the Same Location NPPES

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

CREST RECOVERY LLC

Substance Abuse Rehabilitation Facility

24731 VIA SAN FERNANDO
MISSION VIEJO, CA 92692

Orange County (949) 283-4679

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 Sullivans Detox And Residential Treatment LLC's NPI number?

The NPI number for Sullivans Detox And Residential Treatment LLC is 1801670997. It was assigned to this organization in the NPPES registry on August 21, 2023. The provider is doing business as Sullivan Recovery.

Where is Sullivans Detox And Residential Treatment LLC located?

Sullivans Detox And Residential Treatment LLC is located at 24731 Via San Fernando, Mission Viejo, CA 92692. The listed phone number is (949) 735-1576.

What is Sullivans Detox And Residential Treatment LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Sullivans Detox And Residential Treatment LLC was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.