| NPI | 1982113726 |
|---|---|
| Doing Business As | LAGUNA VIEW DETOX |
| Entity Type | Organization |
| Authorized Contact | JOHN PARMENTER Human Resources 949-306-4756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |