Organization · Type 2 NPI
Shore Light Behavioral Health LLC
Adult Mental Health Clinic/Center · San Clemente, CA
NPI number
1114723616
Active
Practice location
411 Calle Macho
San Clemente, CA 92673-3035
Mailing address
2955 E 1st Ave Ste 200
Denver, CO 80206-5636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Another provider at this address
Other adult mental health clinic/center providers in San Clemente
About NPI 1114723616
Shore Light Behavioral Health LLC's National Provider Identifier is 1114723616, issued on Feb 24, 2025. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in San Clemente, CA. The record was last updated on Feb 24, 2025.