OrganizationActive
417 San Clemente, LLC
NPI 1770968513 · Children's Substance Abuse Rehabilitation Facility · Mission Viejo, CA
Provider details
- NPI number
- 1770968513
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Scott Kalland, Owner/President
Practice location
26010 Acero Ste 200
Mission Viejo, CA 92691-6716
Phone: (949) 525-7977
Mailing address
26010 Acero Ste 200
Mission Viejo, CA 92691-6716
Registry dates
- Enumerated
- 2015-07-22
- Last updated
- 2019-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.