Organization
THE MAINSTREAM GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD G COLE (EXECUTIVE DIRECTOR)
(949) 366-9210
Entity
Organization
Contact information
Practice address
101 AVENIDA SERRA, SAN CLEMENTE, CA 92672-4760
(949) 366-9210
(949) 498-5706
Mailing address
101 AVENIDA SERRA, SAN CLEMENTE, CA 92672-4760
(949) 366-9210
(949) 498-5706
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300084IN
CA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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