Organization
CAPO BY THE SEA
Active
Organization
CAPO BY THE SEA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KAHAL (OWNER)
(949) 874-1332
Entity
Organization
Contact information
Practice address
26682 AVENIDA LAS PALMAS, CAPISTRANO BEACH, CA 92624-1402
(800) 704-5386
Mailing address
PO BOX 520, DANA POINT, CA 92629-0520
(800) 704-5386
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
04/21/2010
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