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Organization
CAST RECOVERY SERVICES OF SANTA MONICA, INC
Active
Organization
CAST RECOVERY SERVICES OF SANTA MONICA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GARDINER BAYER CADC II, BRI II (CEO)
(310) 873-3935
Entity
Organization
Contact information
Practice address
530 WILSHIRE BLVD, SUITE 105, SANTA MONICA, CA 90401-1421
(310) 873-3935
(310) 564-1883
Mailing address
530 WILSHIRE BLVD, SUITE 105, SANTA MONICA, CA 90401-1421
(310) 873-3935
(310) 564-1883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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