| Coastline Recovery Llc | |
|
18377 Beach Blvd Ste 210 Huntington Beach CA 92648-1349 | |
| (949) 205-1065 | |
| (714) 388-3844 |
| Full Name | Coastline Recovery Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 18377 Beach Blvd Ste 210, Huntington Beach, California |
| Authorized Official Name and Position | Jason Jacobs (VP OF OPERATIONS) |
| Authorized Official Contact | 9493455577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastline Recovery Llc 18377 Beach Blvd Ste 210 Huntington Beach CA 92648-1349 Ph: (949) 205-1065 | Coastline Recovery Llc 18377 Beach Blvd Ste 210 Huntington Beach CA 92648-1349 Ph: (949) 205-1065 |
| NPI Number | 1306217500 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 03/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306217500 | NPI | - | NPPES |
| 300630BP | Other | CA | DHCS CERTIFICATION |
| 608177 | Other | THE JOINT COMMISSION |
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