Laguna Beach Recovery
NPI #1265680953 in Laguna Beach, California
Provider Information
- NPI Number
- 1265680953
- Entity Type
- Organization
- Organization Name
- Laguna Beach Recovery
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Sep 5, 2008
- Last Updated
- Sep 5, 2008
Practice Location
- Address
- 316 THALIA ST
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92651-2714
- Phone
- (866) 493-4527
Authorized Official
- Name
- MR. MARK RONALD KISNER, MSW, CADC-II
- Title
- CLINICAL DIRECTOR
- Phone
- (714) 913-0852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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