Organization
ALEXANDRA ROSE CORPORATION
Active
Other names
South Orange County Detox & Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
SALINA SHULER MSW (CEO)
(714) 785-2512
Entity
Organization
Contact information
Practice address
35402 CAMINO CAPISTRANO, DANA POINT, CA 92624-1805
(949) 584-5927
Mailing address
4009 CALLE ABRIL, SAN CLEMENTE, CA 92673-2603
(949) 584-5927
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300245AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300245BP
DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
10/23/2017
Last updated
03/17/2018
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