CASA CAPRI
Residential Treatment Facilities at Morning Glory Cir, Santa Ana, CA

License number
California 300326DP
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: IAN ROY
Title: BILLING DIRECTOR
Phone: (949) 335-7598
Address
Address 2
10572 Morning Glory Cir, Santa Ana, CA 92708
2801 Bristol St STE 110, Costa Mesa, CA 92626
National Provider ID: 1013426816
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Casa Capri LLC

Costa Mesa, CA

Industry:
Boarding Service, Boarding Services
Registration:
Jul 15, 2011
Addresses:
395 Victoria St, Costa Mesa, CA 92627
2272 Colgate Dr, Costa Mesa, CA 92626
State ID:
201120810242
Business type:
Domestic
Members:
Jeremy Michael Broderick (Member),Melissa Holmes (Member),Raymond J. Yates Member, inactive
Agent:
Jeremy Broderick

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