| California Care Detox & Treatment | |
|
25542 Dana Mesa Dr San Juan Capistrano CA 92675-4311 | |
| (949) 291-3333 | |
| Not Available |
| Full Name | California Care Detox & Treatment |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 25542 Dana Mesa Dr, San Juan Capistrano, California |
| Authorized Official Name and Position | Jason Bouquet (CEO) |
| Authorized Official Contact | 9492913333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Care Detox & Treatment 27075 Cabot Rd Ste 109 Laguna Hills CA 92653-7014 Ph: () - | California Care Detox & Treatment 25542 Dana Mesa Dr San Juan Capistrano CA 92675-4311 Ph: (949) 291-3333 |
| NPI Number | 1104551506 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104551506 | NPI | - | NPPES |
| 306006150 | Other | CA | PRIVATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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