| NPI | 1891530473 |
|---|---|
| Doing Business As | LAGUNA BEACH RECOVERY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH DE SANTO Medical Director 626-616-6183 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |