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Dana Point Detox Llc
Substance Abuse Rehabilitation Facility in Dana Point, California
NPI 1598392417

Dana Point Detox Llc is a Substance Abuse Rehabilitation Facility based in Dana Point, CA. Dana Point Detox Llc practices in Dana Point, CA. The NPI Number for Dana Point Detox Llc is 1598392417 and holds a License No. (California).

The current practice location address for Dana Point Detox Llc is 24832 La Paz Ave Apt B, Dana Point, CA and can be reached out via phone at 949-359-5662 and via fax at 949-542-3878.

Location: 24832 La Paz Ave Apt B, Dana Point, CA, 92629-5398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598392417
Provider Name
Dana Point Detox Llc
Credential
Provider Entity Type
Organization
Address
24832 La Paz Ave Apt B, Dana Point, CA, 92629-5398
Phone Number
949-359-5662
Fax Number
949-542-3878
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300392AP 01 CA STATE OF CA
05D2183497 01 CLIA
institution
Provider Business Practice Location Address Details
Address
24832 La Paz Ave Apt B
City
Dana Point
State
California
Zip
92629-5398
Phone Number
949-359-5662
Fax Number
949-542-3878
person
Provider Business Mailing Address Details
Address
24832 La Paz Ave Apt B
City
Dana Point
State
California
Zip
92629-5398
Phone Number
949-359-5662
Fax Number
949-542-3878
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
person
Provider's Taxonomy Details 2
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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