Organization
LAGUNA WOODS RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NICCOLE (CEO)
(949) 279-1165
Entity
Organization
Contact information
Practice address
26411 CHAPARRAL PL, LAGUNA HILLS, CA 92653-5760
(949) 279-1165
Mailing address
26411 CHAPARRAL PL, LAGUNA HILLS, CA 92653-5760
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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