| Coastline Support, Inc. | |
|
1509 Seabright Ave. C-1 Santa Cruz CA 95062 | |
| (831) 426-6436 | |
| (831) 426-6891 |
| Full Name | Coastline Support, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1509 Seabright Ave., Santa Cruz, California |
| Authorized Official Name and Position | Scott N Beesley (PRESIDENT) |
| Authorized Official Contact | 8314266436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastline Support, Inc. 1509 Seabright Ave. C-1 Santa Cruz CA 95062 Ph: (831) 426-6436 | Coastline Support, Inc. 1509 Seabright Ave. C-1 Santa Cruz CA 95062 Ph: (831) 426-6436 |
| NPI Number | 1063839330 |
|---|---|
| Provider Enumeration Date | 03/25/2014 |
| Last Update Date | 03/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063839330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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