# SOUTH COAST TRAVERSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982879813
- **Authorized official:** ELLEN MC GUIRK (CEO)
- **Authorized official phone:** (949) 244-5757

## Contact information

- **Practice address:** 590 TRAVERSE DR, COSTA MESA, CA 92626-3117
- **Practice address phone:** (714) 546-7731
- **Mailing address:** 25910 ACERO STE 160, MISSION VIEJO, CA 92691-2777
- **Mailing address phone:** (909) 980-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 08/01/2022