Organization
SOUTH COAST BEHAVIORAL HEALTH
Active
Other names
Wilson House, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KYLEE BRINEY (EXECUTIVE DIRECTOR)
(949) 531-1821
Entity
Organization
Contact information
Practice address
6 BANYAN TREE, IRVINE, CA 92612-2231
(949) 877-1821
Mailing address
2220 UNIVERSITY DR, NEWPORT BEACH, CA 92660-3319
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300313BP
CA
Other
Enumeration date
04/24/2018
Last updated
04/01/2025
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