Organization
SOUTHERN CALIFORNIA ADDICTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY LUSSIER (SENIOR CORP. DIRECTOR)
(714) 619-5081
Entity
Organization
Contact information
Practice address
35200 LINDA ROSEA RD, TEMECULA, CA 92592-9531
(714) 619-5081
Mailing address
2755 BRISTOL ST STE 140, COSTA MESA, CA 92626-5985
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
03/04/2019
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