Organization
DETOX CALIFORNIA AT CLIFFSIDE CAPISTRANO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BRINEY (COMPLIANCE MANAGER)
(805) 512-1694
Entity
Organization
Contact information
Practice address
35341 CAMINO CAPISTRANO, DANA POINT, CA 92624-1803
(312) 315-3315
Mailing address
2942 CENTURY PL # 716, COSTA MESA, CA 92626-4324
(805) 512-1694
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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