Organization
BEACH CITIES RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP LEE YOUNG CEO (OWNER)
(562) 375-5874
Entity
Organization
Contact information
Practice address
440 FAIR DR STE 237, COSTA MESA, CA 92626-6295
(562) 375-5874
Mailing address
440 FAIR DR STE 237, COSTA MESA, CA 92626-6295
(562) 375-5874
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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