Organization
WEST COAST REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LEE CASE SR. (PRESIDENT / CEO)
(480) 612-4297
Entity
Organization
Contact information
Practice address
30552 HILLTOP WAY, SAN JUAN CAPISTRANO, CA 92675-2048
(949) 218-4141
(480) 383-6983
Mailing address
35 S PEAK, LAGUNA NIGUEL, CA 92677-2903
(949) 218-4141
(480) 383-6983
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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