Organization
CALIFORNIA HISPANIC COMMISSION ON ALCOHOL & DRUG ABUSE
Active
Other names
Casa Elana
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISSETTE VASQUEZ (PROJECT DIRECTOR)
(714) 479-0720
Entity
Organization
Contact information
Practice address
832 S ANAHEIM BLVD, ANAHEIM, CA 92805-5201
(714) 772-5580
(714) 772-1685
Mailing address
1905 N. COLLEGE STREET, SUITE A, SANTA ANA, CA 92706
(714) 479-0120
(714) 479-0153
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300010BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300010BN
DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS
CA
Enumeration date
12/20/2013
Last updated
12/20/2013
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