| Covenant Hills | |
|
27184 Ortega Hwy Ste 206 San Juan Capistrano CA 92675-5700 | |
| (949) 248-5335 | |
| (949) 248-4275 |
| Full Name | Covenant Hills |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 27184 Ortega Hwy Ste 206, San Juan Capistrano, California |
| Authorized Official Name and Position | Susan Kay Sloan (VP ADMINISTRATION) |
| Authorized Official Contact | 9492485335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Hills 32236 Paseo Adelanto Suite G San Juan Capistrano CA 92675-3609 Ph: (949) 248-5335 | Covenant Hills 27184 Ortega Hwy Ste 206 San Juan Capistrano CA 92675-5700 Ph: (949) 248-5335 |
| NPI Number | 1104058403 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104058403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300074DP (California) | Primary |
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