Organization
ORANGE COUNTY REHAB
Active
Parent organization
ORANGE COUNTY DETOX, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORANGE COUNTY DETOX, INC
Authorized official
KRISTENA SERRANO (PROGRAM DIRECTOR)
(949) 200-7924
Entity
Organization
Contact information
Practice address
546 HAMILTON ST, COSTA MESA, CA 92627-2617
(949) 200-7924
(866) 703-9903
Mailing address
552 HAMILTON ST UNIT E1, COSTA MESA, CA 92627-5502
(949) 200-7924
(866) 703-9903
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300169BP
CA
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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