| Shoreline Center For Eating Disorder Treatment | |
|
25401 Cabot Rd Suite 219 Laguna Hills CA 92653-5524 | |
| (615) 864-8145 | |
| (562) 856-2370 |
| Full Name | Shoreline Center For Eating Disorder Treatment |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 25401 Cabot Rd, Laguna Hills, California |
| Authorized Official Name and Position | Scott Sarnacke (CFO) |
| Authorized Official Contact | 6154427689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Center For Eating Disorder Treatment 191 Argonne Ave Ste 3 Long Beach CA 90803-3231 Ph: (615) 864-8145 | Shoreline Center For Eating Disorder Treatment 25401 Cabot Rd Suite 219 Laguna Hills CA 92653-5524 Ph: (615) 864-8145 |
| NPI Number | 1538692918 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538692918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 37703 (California) | Primary |
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