Organization
CAST RECOVERY SERVICES OF SANTA MONICA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GARDINER BAYER CADC II, BRI II (CEO)
(310) 873-3935
Entity
Organization
Contact information
Practice address
530 WILSHIRE BLVD, SUITE 105, SANTA MONICA, CA 90401-1421
(310) 873-3935
(310) 564-1883
Mailing address
530 WILSHIRE BLVD, SUITE 105, SANTA MONICA, CA 90401-1421
(310) 873-3935
(310) 564-1883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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