South Shores Detoxllc
NPI #1972972560 in Dana Point, California
Provider Information
- NPI Number
- 1972972560
- Entity Type
- Organization
- Organization Name
- South Shores Detoxllc
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Sep 24, 2015
- Last Updated
- Sep 24, 2015
Practice Location
- Address
- 27568 VISTA DE DONS
- City
- Dana Point
- State
- California
- ZIP Code
- 92624-1843
- Phone
- (949) 218-2347
Authorized Official
- Name
- JOSH D SMITH
- Title
- CEO
- Phone
- (949) 289-2138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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