Organization
CHAPTERS CAPISTRANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN VANHOOSER (DIRECTOR OF COMPLIANCE)
(949) 750-2014
Entity
Organization
Contact information
Practice address
1525 BUENA VISTA, SAN CLEMENTE, CA 92672-4939
(949) 988-0471
(949) 325-7818
Mailing address
DEPT#880605 PO BOX 29650, PHOENIX, AZ 85038-9650
(949) 988-0471
(949) 325-7818
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300239AP
CA
324500000X
Substance Abuse Rehabilitation Facility
300239BP
CA
Other
Enumeration date
05/09/2012
Last updated
11/05/2024
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