# A MISSION FOR MICHAEL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144668468
- **Authorized official:** JOHN SMITH III J.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (714) 392-7306

## Contact information

- **Practice address:** 34270 PACIFIC COAST HWY STE N, DANA POINT, CA 92629-2825
- **Practice address phone:** (949) 489-0950
- **Mailing address:** 34270 PACIFIC COAST HWY STE N, DANA POINT, CA 92629-2825
- **Mailing address phone:** (949) 489-0950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/08/2013
- **Last updated:** 06/08/2013