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417 San Clemente, Llc
Children's Substance Abuse Rehabilitation Facility in Mission Viejo, California
NPI 1770968513

417 San Clemente, Llc is a Children's Substance Abuse Rehabilitation Facility based in Mission Viejo, CA and is specialized in Substance Abuse Treatment, Children. 417 San Clemente, Llc practices in Mission Viejo, CA. The NPI Number for 417 San Clemente, Llc is 1770968513 and holds a License No. (California).

The current practice location address for 417 San Clemente, Llc is 26010 Acero Ste 200, Mission Viejo, CA and can be reached out via phone at 949-525-7977.

Location: 26010 Acero Ste 200, Mission Viejo, CA, 92691-6716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770968513
Provider Name
417 San Clemente, Llc
Credential
Provider Entity Type
Organization
Address
26010 Acero Ste 200, Mission Viejo, CA, 92691-6716
Phone Number
949-525-7977
Fax Number
Provider Enumeration Date
07/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26010 Acero Ste 200
City
Mission Viejo
State
California
Zip
92691-6716
Phone Number
949-525-7977
Fax Number
person
Provider Business Mailing Address Details
Address
26010 Acero Ste 200
City
Mission Viejo
State
California
Zip
92691-6716
Phone Number
949-525-7977
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
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 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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