Organization
PACIFIC SHORES RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LUCHINI (ACCOUNTS MANAGER)
(928) 533-4220
Entity
Organization
Contact information
Practice address
177 RIVERSIDE AVE, #212, NEWPORT BEACH, CA 92663-4032
(949) 574-2510
(949) 722-1135
Mailing address
177 RIVERSIDE AVE, #212, NEWPORT BEACH, CA 92663-4032
(949) 574-2510
(949) 722-1135
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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