| NPI | 1144795261 |
|---|---|
| Doing Business As | COSTA MESA DETOX |
| Entity Type | Organization |
| Authorized Contact | SERENA GUPTA President 714-606-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2024-12-09 |