Organization
PACIFIC CITY RECOVERY
Active
Parent organization
COASTAL RECOVERY, INC.
Other names
Pacific City Recovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL RECOVERY, INC.
Authorized official
KRISTIN VOURNAS (VICE PRESIDENT)
(949) 413-3339
Entity
Organization
Contact information
Practice address
11851 WISTERIA AVE, FOUNTAIN VALLEY, CA 92708-2654
(949) 642-4150
(949) 642-3441
Mailing address
11851 WISTERIA AVE, FOUNTAIN VALLEY, CA 92708-2654
(949) 642-4150
(949) 642-3441
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
12/22/2016
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