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Organization
SHORELINE RECOVERY CENTER, LLC
Active
Organization
SHORELINE RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WILSON (CEO/LLC MEMBER)
(858) 900-5079
Entity
Organization
Contact information
Practice address
2859 EL CAJON BLVD, SAN DIEGO, CA 92104-1292
(858) 900-5079
Mailing address
183 CALLE MAGDALENA STE 101, ENCINITAS, CA 92024-3793
(858) 900-5079
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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