Organization
BICOUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LEE CASE SR. (PRESIDENT / CEO)
(480) 612-4297
Entity
Organization
Contact information
Practice address
35 S PEAK, LAGUNA NIGUEL, CA 92677-2903
(480) 612-4294
(480) 383-6983
Mailing address
35 S PEAK, LAGUNA NIGUEL, CA 92677-2903
(480) 612-4294
(480) 383-6983
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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