California Detox, LLC
Substance Abuse Rehabilitation Facility in Laguna Beach, CA. Organization (NPI-2).
NPI number1942944707
StatusActive
Last updated in NPPESApr 26, 2022
Details
- NPI
- 1942944707
- Entity type
- Organization (NPI-2)
- Legal business name
- California Detox, LLC
- Organization subpart
- No
- Enumeration date
- Apr 26, 2022
- Certification date
- Apr 26, 2022
- Last updated
- Apr 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 276400000X | Rehabilitation, Substance Use Disorder Unit | – | – |
Other names
- The Laguna House (Doing Business As)
Practice location
31365 Monterey StLaguna Beach, CA 92651-6946
Phone 949-742-0172
Mailing address
2549 Eastbluff Dr Ste B726Newport Beach, CA 92660-3500
Phone 949-742-0172
Authorized official
Reese Morgan
Cfo
9497420172
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