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Psychogenesis Detox Center
Substance Abuse Rehabilitation Facility in Costa Mesa, California
NPI 1467217372

Psychogenesis Detox Center is a Substance Abuse Rehabilitation Facility based in San Juan Capistrano, CA. Psychogenesis Detox Center practices in Costa Mesa, CA. The NPI Number for Psychogenesis Detox Center is 1467217372 and holds a License No. (California).

The current practice location address for Psychogenesis Detox Center is 3151 Airway Ave Ste C3, Costa Mesa, CA and can be reached out via phone at 949-769-1372. You can also correspond with Psychogenesis Detox Center through the mailing address at 30912 STEEPLECHASE DR, SAN JUAN CAPISTRANO, CA - 92675-1928 (mailing address contact number: 949-769-1372).

Location: 3151 Airway Ave Ste C3, Costa Mesa, CA, 92675-1928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467217372
Provider Name
Psychogenesis Detox Center
Credential
Provider Entity Type
Organization
Address
3151 Airway Ave Ste C3, Costa Mesa, CA, 92675-1928
Phone Number
949-769-1372
Fax Number
Provider Enumeration Date
02/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3151 Airway Ave Ste C3
City
Costa Mesa
State
California
Zip
92626-4622
Phone Number
949-769-1372
Fax Number
person
Provider Business Mailing Address Details
Address
3151 Airway Ave Ste C3
City
Costa Mesa
State
California
Zip
92626-4622
Phone Number
949-769-1372
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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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