Organization
HOTEL CALIFORNIA BY THE SEA BELLEVUE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BIXLER (CHIEF PROGRAM OFFICER)
(844) 766-8717
Entity
Organization
Contact information
Practice address
1601 114TH AVE SE STE 180, BELLEVUE, WA 98004-6955
(844) 766-8717
Mailing address
3419 VIA LIDO STE 145, NEWPORT BEACH, CA 92663-3908
(844) 766-8717
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
BHA.FS.60874242
WA
261QM0850X
Adult Mental Health Clinic/Center
BHA.FS.60874242
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
BHA.FS.60874242
WA
Other
Enumeration date
04/27/2018
Last updated
01/11/2024
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