Organization
COASTLINE SUPPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT N BEESLEY (PRESIDENT)
(831) 426-6436
Entity
Organization
Contact information
Practice address
1509 SEABRIGHT AVE., C-1, SANTA CRUZ, CA 95062
(831) 426-6436
(831) 426-6891
Mailing address
1509 SEABRIGHT AVE., C-1, SANTA CRUZ, CA 95062
(831) 426-6436
(831) 426-6891
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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