Organization
HOPE BY THE SEA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY CARLSEN (CEO)
(949) 218-2690
Entity
Organization
Contact information
Practice address
27412 CALLE ARROYO, SAN JUAN CAPISTRANO, CA 92675-2747
(949) 218-2690
Mailing address
33171 PASEO CERVEZA, SAN JUAN CAPISTRANO, CA 92675-4870
(949) 218-2690
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300149BP
CA
Other
Enumeration date
03/06/2007
Last updated
03/21/2017
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