Organization
CALIFORNIA CARE DETOX & TREATMENT
Active
Other names
California Care Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BOUQUET (CEO)
(949) 291-3333
Entity
Organization
Contact information
Practice address
25542 DANA MESA DR, SAN JUAN CAPISTRANO, CA 92675-4311
(949) 291-3333
Mailing address
27075 CABOT RD STE 109, LAGUNA HILLS, CA 92653-7014
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306006150
PRIVATE
CA
Enumeration date
07/19/2022
Last updated
07/19/2022
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