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Organization

SOLSTICE SOUTHWEST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRITTEN DEVEREUX LCDC (CEO)
(949) 402-9520
Entity
Organization

Contact information

Practice address
3421 STORY RD W, IRVING, TX 75038-3571
(214) 306-8447
(949) 200-7929
Mailing address
26732 CROWN VALLEY PKWY STE 443, MISSION VIEJO, CA 92691-6375
(949) 402-9520
(949) 200-7929

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2084P0800X
Psychiatry Physician
2084P0802X
Addiction Psychiatry Physician
261QA0600X
Adult Day Care Clinic/Center
261QC1500X
Community Health Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
323P00000X
Psychiatric Residential Treatment Facility
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
07/13/2023
Last updated
05/03/2024
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