Organization
COASTWISE INTEGRATIVE RECOVERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN DAVID TAUS II (CEO/CLINICAL DIRECTOR)
(310) 351-3528
Entity
Organization
Contact information
Practice address
1366 W 7TH ST, SAN PEDRO, CA 90732-3517
(310) 514-2300
Mailing address
1366 W 7TH ST, SAN PEDRO, CA 90732-3517
(310) 514-2300
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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