Organization · NPI-2

California Care Detox & Treatment

Substance Abuse Rehabilitation Facility · Mission Viejo, CA

NPI number1801497359
StatusActive
Last updated in NPPESFeb 3, 2022

Details

NPI
1801497359
Entity type
Organization (NPI-2)
Legal business name
California Care Detox & Treatment
Organization subpart
No
Enumeration date
Nov 2, 2020
Certification date
Feb 3, 2022
Last updated
Feb 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes
261QM0850X Clinic/Center, Adult Mental Health––

Practice location

26452 Aracena Dr
Mission Viejo, CA 92691-5102

Phone 949-291-3333

Mailing address

27068 La Paz Rd # 649
Aliso Viejo, CA 92656-3041

Phone 949-291-3333 · Fax 209-917-8608

Authorized official

Jason Bouquet
Ceo
9492913333

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