| Cast Recovery Services Of Santa Monica, Inc | |
|
530 Wilshire Blvd Suite 105 Santa Monica CA 90401-1421 | |
| (310) 873-3935 | |
| (310) 564-1883 |
| Full Name | Cast Recovery Services Of Santa Monica, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 530 Wilshire Blvd, Santa Monica, California |
| Authorized Official Name and Position | Michael Gardiner Bayer (CEO) |
| Authorized Official Contact | 3108733935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cast Recovery Services Of Santa Monica, Inc 530 Wilshire Blvd Suite 105 Santa Monica CA 90401-1421 Ph: (310) 873-3935 | Cast Recovery Services Of Santa Monica, Inc 530 Wilshire Blvd Suite 105 Santa Monica CA 90401-1421 Ph: (310) 873-3935 |
| NPI Number | 1093156879 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093156879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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