Organization
SOUTHERN CALIFORNIA DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JOHNSON (CEO)
(714) 854-2026
Entity
Organization
Contact information
Practice address
42012 DAHLIA WAY, TEMECULA, CA 92591-5356
(714) 854-2026
Mailing address
42012 DAHLIA WAY, TEMECULA, CA 92591-5356
(714) 854-2026
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
11/01/2013
Last updated
05/19/2015
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