| Beachfront Sober Living, Inc | |
|
1730 Pomona Ave Costa Mesa CA 92627-3628 | |
| (562) 972-3955 | |
| Not Available |
| Full Name | Beachfront Sober Living, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1730 Pomona Ave, Costa Mesa, California |
| Authorized Official Name and Position | Adam Shandrow (COO) |
| Authorized Official Contact | 9497634175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachfront Sober Living, Inc 1730 Pomona Ave Costa Mesa CA 92627-3628 Ph: (562) 972-3955 | Beachfront Sober Living, Inc 1730 Pomona Ave Costa Mesa CA 92627-3628 Ph: (562) 972-3955 |
| NPI Number | 1952131245 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952131245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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