Socaltreatmentcentersllc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOCALTREATMENTCENTERSLLC

Practice address

49 Montecito Dr
Corona del Mar, CA 92625-1017

Phone

(949) 745-0138

NPI assigned

Oct 5, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Davis Balbirnie, CATC

Title

Coo

Phone

(949) 745-0138

Specialties & licenses 1

Addresses

Other names 1

• AdelanteRecoveryCenter Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1811612419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MONTECITO DR",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251017",
            "telephone_number": "949-745-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MONTECITO DR",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251017",
            "telephone_number": "949-745-0138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 N El Camino Real Spc 75",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926724968",
            "country_code": "US",
            "telephone_number": "949-745-0138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCALTREATMENTCENTERSLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "BALBIRNIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-745-0138",
        "authorized_official_credential": "CATC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdelanteRecoveryCenter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdelanteRecoveryCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.