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Organization

SUNBRIDGE HARBOR VIEW REHABILITATION CENTER

Active
Other names
Harbor View Adolescent Center
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM A MATHIES (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization

Contact information

Practice address
490 W 14TH ST, LONG BEACH, CA 90813-2943
(562) 591-8701
(562) 591-0235
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0054
CA
Enumeration date
05/25/2007
Last updated
08/22/2020
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