Organization Active NPI

Grant Me the Courage Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brea, CA
National Provider Identifier
1760829485
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GRANT ME THE COURAGE RECOVERY
Practice address
3350 E Birch St Ste 101
Brea, CA 92821-6266
Phone
(877) 290-2058
Fax
(866) 659-9110
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Bautista
Title
Cfo
Phone
(714) 262-9521

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3350 E Birch St Ste 101
Brea, CA 92821-6266

Mailing address

3350 E Birch St Ste 101
Brea, CA 92821-6266
Phone (877) 290-2058

National Provider Directory

National Provider Directory

Locations

3350 E Birch St
Ste 101
Brea, CA 92821
Phone (714) 296-0084

3230 E Imperial Hwy
Ste 312
Brea, CA 92821

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1760829485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 E BIRCH ST STE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216266",
            "telephone_number": "877-290-2058",
            "fax_number": "866-659-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 E BIRCH ST STE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216266",
            "telephone_number": "877-290-2058",
            "fax_number": "866-659-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT ME THE COURAGE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-262-9521"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.