South Shores Detox LLC
NPI #1467817114 in Dana Point, California
Provider Information
- NPI Number
- 1467817114
- Entity Type
- Organization
- Organization Name
- South Shores Detox LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Dec 23, 2015
- Last Updated
- Sep 9, 2016
Practice Location
- Address
- 32851 BUCCANEER ST
- City
- Dana Point
- State
- California
- ZIP Code
- 92629-1312
- Phone
- (949) 289-2138
Authorized Official
- Name
- MR. JOSH D SMITH
- Title
- CEO/OWNER
- Phone
- (949) 289-2138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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