CAPO COAST DETOX LLC

CAPISTRANO BEACH, CA
NPI1164385225
Entity TypeOrganization
Authorized ContactMATTHEW LEE
Admin
619-987-8078
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2025-12-05
Last Update Date2026-01-12
Business Address
CAPO COAST DETOX LLC
34405 VIA GOMEZ
CAPISTRANO BEACH, CA 92624-1318
Phone number: 949-359-5669
Mailing Address
CAPO COAST DETOX LLC
21263 DOUBTFUL CANYON DR
CYPRESS, TX 77433-8470
Phone number: