| California Coast Detox & Rehab | |
|
24482 Caracas St Dana Point CA 92629-1320 | |
| (949) 218-8174 | |
| (866) 703-9903 |
| Full Name | California Coast Detox & Rehab |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 24482 Caracas St, Dana Point, California |
| Authorized Official Name and Position | Reiner Vincent Nusbaum (ADMINISTRATOR) |
| Authorized Official Contact | 9492358258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Coast Detox & Rehab 806 Avenida Pico Suite I-284 San Clemente CA 92673-5639 Ph: (949) 235-8258 | California Coast Detox & Rehab 24482 Caracas St Dana Point CA 92629-1320 Ph: (949) 218-8174 |
| NPI Number | 1023403714 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023403714 | NPI | - | NPPES |
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