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South Shores Detox Llc
Substance Abuse Rehabilitation Facility in Dana Point, California
NPI 1467817114

South Shores Detox Llc is a Substance Abuse Rehabilitation Facility based in San Juan Capistrano, CA. South Shores Detox Llc practices in Dana Point, CA. The NPI Number for South Shores Detox Llc is 1467817114 and holds a License No. 300324AP (California).

The current practice location address for South Shores Detox Llc is 32851 Buccaneer St, Dana Point, CA and can be reached out via phone at 949-289-2138.

Location: 32851 Buccaneer St, Dana Point, CA, 92675-3031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467817114
Provider Name
South Shores Detox Llc
Credential
Provider Entity Type
Organization
Address
32851 Buccaneer St, Dana Point, CA, 92675-3031
Phone Number
949-289-2138
Fax Number
Provider Enumeration Date
12/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
32851 Buccaneer St
City
Dana Point
State
California
Zip
92629-1312
Phone Number
949-289-2138
Fax Number
person
Provider Business Mailing Address Details
Address
32851 Buccaneer St
City
Dana Point
State
California
Zip
92629-1312
Phone Number
949-289-2138
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
300324AP (California)
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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