Organization
FIRST LIGHT RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY JOY STONE LMFT (PROGRAM DIRECTOR)
(949) 294-5104
Entity
Organization
Contact information
Practice address
140 AVENIDA ALGODON, SAN CLEMENTE, CA 92627
(949) 294-5104
Mailing address
140 AVENIDA ALGODON, SAN CLEMENTE, CA 92672-4182
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300325AP
CA
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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