Organization
OC TEEN ADDICTION LLC
Active
Other names
OC Addiction
Organization subpart
No
Provider details
NPI number
Authorized official
RUEBEN (BENJI) GRAJEDA BSM (FOUNDER)
(714) 474-8655
Entity
Organization
Contact information
Practice address
1940 W ORANGEWOOD AVE STE 206, ORANGE, CA 92868-5037
(714) 474-8655
(949) 203-2151
Mailing address
2809 S BAKER ST APT D, SANTA ANA, CA 92707-3664
(714) 474-8655
(949) 203-2151
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/11/2024
Last updated
03/18/2026
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