Organization
DANA SHORES RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES HOHMAN (CEO)
(949) 503-1705
Entity
Organization
Contact information
Practice address
30971 SILVER LEAF DR, SAN JUAN CAPISTRANO, CA 92675-2952
(909) 213-8504
Mailing address
30971 SILVER LEAF DR, SAN JUAN CAPISTRANO, CA 92675-2952
(909) 213-8504
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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