Organization
OC TEEN ADDICTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUEBEN GRAJEDA BSM (FOUNDER)
(714) 474-8655
Entity
Organization
Contact information
Practice address
1940 W ORANGEWOOD AVE STE 206, ORANGE, CA 92868-5037
(714) 474-8655
(949) 203-2151
Mailing address
1101 W STEVENS AVE APT 5, SANTA ANA, CA 92707-5040
(714) 474-8655
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/30/2023
Last updated
03/18/2026
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