Socal Detox, LLC

NPI #1255750519 in San Clemente, California

Provider Information

NPI Number
1255750519
Entity Type
Organization
Organization Name
Socal Detox, LLC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Apr 15, 2014
Last Updated
Apr 15, 2014

Practice Location

Address
1703 AVENIDA SALVADOR
ZIP Code
92672-3268
Phone
(949) 584-5957

Authorized Official

Name
MR. JOSHUA LAWRENCE BEAUCHAINE, LMFT 47103
Title
PRESIDENT
Phone
(949) 584-5957

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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