| La Costa Recovery | |
|
136 E Jason St Encinitas CA 92024-1671 | |
| (949) 359-5669 | |
| Not Available |
| Full Name | La Costa Recovery |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 136 E Jason St, Encinitas, California |
| Authorized Official Name and Position | Matthew Lee (ADMIN) |
| Authorized Official Contact | 9493595669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Costa Recovery 34249 Camino Capistrano Ste 101 Capistrano Beach CA 92624-1156 Ph: () - | La Costa Recovery 136 E Jason St Encinitas CA 92024-1671 Ph: (949) 359-5669 |
| NPI Number | 1467209726 |
|---|---|
| Provider Enumeration Date | 05/03/2024 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467209726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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