Casa De Lago
NPI #1255357760 in Canyon Lake, California
Provider Information
- NPI Number
- 1255357760
- Entity Type
- Organization
- Organization Name
- Casa De Lago
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Jul 15, 2006
- Last Updated
- Jun 9, 2009
Practice Location
- Address
- 22590 CANYON LAKE DR S
- City
- Canyon Lake
- State
- California
- ZIP Code
- 92587-7560
- Phone
- (310) 530-1151
Authorized Official
- Name
- STEVE FILTON
- Title
- CFO/ SR VP
- Phone
- (610) 768-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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