NPI | 1871941583 |
---|---|
Doing Business As | SOCAL DETOX |
Entity Type | Organization |
Authorized Contact | JOSH BEAUCHAINE President 949-584-5957 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2016-06-03 |
Last Update Date | 2022-02-15 |