Organization
COASTAL BREEZE RECOVERY, LLC
Active
Other names
Awakenings By The Sea
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIE R HERNDON (CEO)
(760) 413-2055
Entity
Organization
Contact information
Practice address
1325 N HOLLADAY DR, SEASIDE, OR 97138-7131
(503) 738-7700
(503) 738-7733
Mailing address
1325 N HOLLADAY DR, SEASIDE, OR 97138-7131
(503) 738-7700
(503) 738-7733
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
OR
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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