CAPO CANYON RECOVERY LLC NPI 1124560297

NPI Information

CAPO CANYON RECOVERY LLC is a substance abuse rehabilitation facility in Mission Viejo, CA. The provider is 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. CAPO CANYON RECOVERY LLC NPI is 1124560297. The provider is registered as an organization entity type.

The provider's business location address is:

26991 EL CIERVO LN
MISSION VIEJO, CA
ZIP 92691-018
Phone: (800) 804-8714

The provider's authorized official is Shonte Perluss .
The authorized official title is Facility Administrator and has the following contact phone number (949) 259-3052.

The CLIA number assigned to this NPI record is 05D2121987 - other - residentail treatment fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2016 and was last updated on 5/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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