CALIFORNIA DETOX, LLC
NPI 1831968718
Clinic/Center - Adult Mental Health in Tustin, CA

Active since December 20, 2023
17811 BIGELOW PARK, TUSTIN, CA 92780(949) 742-0172 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Adult Mental Health

About CALIFORNIA DETOX, LLC

This page provides the complete NPI Profile along with additional information for California Detox, Llc, a provider established in Tustin, California operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1831968718 assigned on December 2023. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Mr. Reese Morgan (Owner)

NPI
1831968718 Verify this NPI
Provider Name
CALIFORNIA DETOX, LLC
Entity Type
Organization
Location Address
17811 BIGELOW PARK TUSTIN, CA 92780
Location Phone
(949) 742-0172
Mailing Address
2549 EASTBLUFF DR STE 726 NEWPORT BEACH, CA 92660
Mailing Phone
(949) 742-0172
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-20-2023
Last Update Date
05-04-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1323P00000XResidential Treatment Facilities

Psychiatric Residential Treatment Facility

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. REESE MORGAN

Authorized Official Title
OWNER
Authorized Official Phone
(949) 742-0172

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831968718, enumerated as an "organization" on December 20, 2023.

The provider is located at 17811 BIGELOW PARK TUSTIN, CA 92780 and the phone number is (949) 742-0172.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.