Beachside Recovery LLC
Substance Abuse Rehabilitation Facility in Santa Ana, CA. Organization (NPI-2).
NPI number1578063004
StatusActive
Last updated in NPPESFeb 21, 2018
Details
- NPI
- 1578063004
- Entity type
- Organization (NPI-2)
- Legal business name
- Beachside Recovery LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 21, 2018
- Last updated
- Feb 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 300315IP | CA | Yes |
Practice location
1340 N Custer StSanta Ana, CA 92701-2506
Phone 949-393-4070
Mailing address
Po Box 511330Los Angeles, CA 90051-7885
Authorized official
Patrick Smith
Ceo
9493934070
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