Organization
WEST COAST DETOX LLC
Active
Parent organization
WEST COAST DETOX LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST COAST DETOX LLC
Authorized official
BIANCA MLADINICH (CFO)
(714) 341-7749
Entity
Organization
Contact information
Practice address
1180 CLEVELAND WAY, CORONA, CA 92881-5905
(866) 758-2862
Mailing address
3225 BIGHORN CIR, CORONA, CA 92881-8747
(866) 758-2862
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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