Organization
LAGUNA DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON HART BROWER (EXECUTIVE)
(714) 448-1891
Entity
Organization
Contact information
Practice address
224 CLIFF DR, LAGUNA BEACH, CA 92651-1817
(714) 448-1891
Mailing address
2973 HARBOR BLVD # 305, COSTA MESA, CA 92626-3912
(714) 448-1891
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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