Organization · Type 2 NPI

Psychogenesis Detox Center

Substance Abuse Rehabilitation Facility · Costa Mesa, CA

NPI number 1467217372 Active

Practice location

3151 Airway Ave Ste C3
Costa Mesa, CA 92626-4622

Call (949) 769-1372 Map

Mailing address

30912 Steeplechase Dr
San Juan Capistrano, CA 92675-1928

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center 261QA0600XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1467217372

Psychogenesis Detox Center's National Provider Identifier is 1467217372, issued on Feb 20, 2024. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Costa Mesa, CA. The record was last updated on Feb 20, 2024.