Organization
WEST COAST MENS LLC
Active
Other names
West Coast Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRIA DONOVAN FIRTEL (CEO)
(760) 822-1999
Entity
Organization
Contact information
Practice address
801 MISSION AVE, OCEANSIDE, CA 92054
(760) 822-1999
(760) 434-2238
Mailing address
801 MISSION AVE, OCEANSIDE, CA 92054
(760) 822-1999
(760) 434-2238
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
08/19/2021
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