Organization
CASA CAPRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN ROY (INSURANCE DIRECTOR)
(916) 533-4285
Entity
Organization
Contact information
Practice address
679 GOVERNOR ST, COSTA MESA, CA 92627-2504
(949) 335-7598
(877) 820-8959
Mailing address
4001 WESTERLY PL STE 110, NEWPORT BEACH, CA 92660-2302
(877) 713-2669
(877) 820-8959
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300326BP
DHCS
CA
Enumeration date
06/15/2016
Last updated
05/20/2020
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