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Organization

SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA HARRIS (CFO)
(949) 467-4324
Entity
Organization

Contact information

Practice address
3151 AIRWAY AVE STE T2, COSTA MESA, CA 92626-4627
(714) 312-5058
Mailing address
3151 AIRWAY AVE STE T2, COSTA MESA, CA 92626-4627
(714) 312-5058

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300313AP
CA
324500000X
Substance Abuse Rehabilitation Facility
300313BP
CA
324500000X
Substance Abuse Rehabilitation Facility
300313CP
CA
324500000X
Substance Abuse Rehabilitation Facility
300313DP
CA
324500000X
Substance Abuse Rehabilitation Facility
300313FP
CA

Other

Enumeration date
04/20/2018
Last updated
03/02/2021
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