Organization
CANYON HOUSE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LAMATTINA (COMPLIANCE MANAGER)
(949) 506-6983
Entity
Organization
Contact information
Practice address
23652 CAVANAUGH RD, LAKE FOREST, CA 92630-3736
(949) 506-6983
Mailing address
34145 PACIFIC COAST HWY # 116, DANA POINT, CA 92629-2731
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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