NPI | 1912440645 |
---|---|
Doing Business As | SHORELINE RANCH |
Entity Type | Organization |
Authorized Contact | BEN BEAUCHAINE CEO 714-417-7628 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 370174AP) |
Enumeration Date | 2016-11-29 |
Last Update Date | 2017-04-24 |