Organization
CENTRAL COAST FREEDOM HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MCKNIGHT (COO)
(626) 765-3946
Entity
Organization
Contact information
Practice address
5755 DOLORES AVE, ATASCADERO, CA 93422-3524
(562) 344-6080
Mailing address
6621 E PACIFIC COAST HWY STE 115, LONG BEACH, CA 90803-4244
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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