Organization · Type 2 NPI

Casa de Lago

Psychiatric Hospital · Canyon Lake, CA

NPI number 1255357760 Active

Practice location

22590 Canyon Lake Dr S
Canyon Lake, CA 92587-7560

Mailing address

23700 Camino Del Sol
Torrance, CA 90505-5017

Specialties and licenses

TaxonomyCodeLicense
Psychiatric Hospital Primary 283Q00000XNone listed

Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

About NPI 1255357760

Casa de Lago's National Provider Identifier is 1255357760, issued on Jul 15, 2006. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Canyon Lake, CA. The record was last updated on Jun 9, 2009.