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Organization

CAPO CANYON RECOVERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHONTE PERLUSS (FACILITY ADMINISTRATOR)
(949) 259-3052
Entity
Organization

Contact information

Practice address
26991 EL CIERVO LN, MISSION VIEJO, CA 92691-6018
(800) 804-8714
Mailing address
PO BOX 448, SAN JUAN CAPISTRANO, CA 92693-0448
(800) 804-8714

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300359AP
CA

Other

Enumeration date
11/07/2016
Last updated
05/26/2020
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