South Coast Behavioral Health
Substance Abuse Rehabilitation Facility in Newport Beach, CA. Organization (NPI-2).
NPI number1669201612
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1669201612
- Entity type
- Organization (NPI-2)
- Legal business name
- South Coast Behavioral Health
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2024
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
1132 W Balboa BlvdNewport Beach, CA 92661-1091
Phone 949-531-1821
Mailing address
2220 University DrNewport Beach, CA 92660-3319
Phone 949-531-1821
Authorized official
Kylee Briney
Executive Director
9495311821
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