Organization
SCRC DANA POINT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LEE (ADMINISTRATOR)
(619) 987-8078
Entity
Organization
Contact information
Practice address
34249 CAMINO CAPISTRANO # 201, CAPO BEACH, CA 92624-1156
(949) 359-5669
Mailing address
34249 CAMINO CAPISTRANO # 101, CAPO BEACH, CA 92624-1156
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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