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20302 Flanagan Road Trabuco Canyon CA 92679-0975 | |
(949) 283-1260 | |
(818) 582-8836 |
Full Name | |
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Speciality | Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children |
Location | 20302 Flanagan Road, Trabuco Canyon, California |
Authorized Official Name and Position | Lauri Lynne Burns (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9492831260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8140 Sunland Blvd Sun Valley CA 91352-3948 Ph: (949) 283-1260 | 20302 Flanagan Road Trabuco Canyon CA 92679-0975 Ph: (949) 283-1260 |
NPI Number | 1720653553 |
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Provider Enumeration Date | 05/24/2021 |
Last Update Date | 10/28/2022 |
Certification Date | 04/19/2022 |
Identifier | Type | State | Issuer |
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1720653553 | NPI | - | NPPES |