Shore Light Behavioral Health LLC
NPI #1114723616 in San Clemente, California
Provider Information
- NPI Number
- 1114723616
- Entity Type
- Organization
- Organization Name
- Shore Light Behavioral Health LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 24, 2025
- Last Updated
- Feb 24, 2025
Practice Location
- Address
- 411 CALLE MACHO
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-3035
- Phone
- (888) 486-6717
Authorized Official
- Name
- STEPHEN VANHOOSER
- Title
- DIRECTOR OF COMPLIANCE
- Phone
- (949) 750-2014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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