Organization
BEACH CITY TREATMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BEAUCHAINE (OWNER)
(949) 584-5957
Entity
Organization
Contact information
Practice address
30461 PUERTO VALLARTA DR, LAGUNA NIGUEL, CA 92677-2480
(714) 726-8652
Mailing address
421 11TH ST, HUNTINGTON BEACH, CA 92648-4507
(714) 726-8652
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300654BP
CA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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