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Organization
COASTAL RECOVERY CENTER
Active
Organization
COASTAL RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA ADAMS (DIRECTOR)
(310) 549-8383
Entity
Organization
Contact information
Practice address
117 E HARRY BRIDGES BLVD, WILMINGTON, CA 90744-5825
(310) 549-8383
(310) 549-9304
Mailing address
19109 GALWAY AVE, CARSON, CA 90746-1915
(310) 329-6548
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
230562
CA
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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