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Organization
BEACH STREET REHAB
Active
Organization
BEACH STREET REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC ADLER (MANAGER)
(310) 343-8684
Entity
Organization
Contact information
Practice address
17682 BEACH BLVD STE 203, HUNTINGTON BEACH, CA 92647-6812
(310) 343-8684
Mailing address
17682 BEACH BLVD STE 203, HUNTINGTON BEACH, CA 92647-6812
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/24/2023
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