Organization
CASA SOLANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLENA MARIAN GOSSNER-LEE (EXECUTIVE DIRECTOR)
(805) 481-8555
Entity
Organization
Contact information
Practice address
383 S 13TH ST, GROVER BEACH, CA 93433-2532
(805) 481-8555
(805) 481-6509
Mailing address
383 S 13TH ST, GROVER BEACH, CA 93433-2532
(805) 481-8555
(805) 481-6509
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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