Organization
WEST COAST DETOX, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REINER NUSBAUM (INSURANCE COORDINATOR)
(949) 235-8258
Entity
Organization
Contact information
Practice address
6381 YALE CIR, HUNTINGTON BEACH, CA 92647-2557
(866) 448-2723
(866) 703-9903
Mailing address
6381 YALE CIR, HUNTINGTON BEACH, CA 92647-2557
(866) 448-2723
(866) 703-9903
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300228AP
CA
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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