Organization · Type 2 NPI

417 San Clemente, LLC

Children's Substance Abuse Rehabilitation Facility · Mission Viejo, CA

NPI number 1770968513 Active

Practice location

26010 Acero Ste 200
Mission Viejo, CA 92691-6716

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1770968513

417 San Clemente, LLC's National Provider Identifier is 1770968513, issued on Jul 22, 2015. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Mission Viejo, CA. The record was last updated on Jul 2, 2019.