Organization
COASTAL RECOVERY HEALTH AND WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MARTIN (DIRECTOR)
(949) 395-6522
Entity
Organization
Contact information
Practice address
3400 IRVINE AVE, SUITE 220, NEWPORT BEACH, CA 92660-3116
(949) 395-6522
Mailing address
3400 IRVINE AVE, SUITE 220, NEWPORT BEACH, CA 92660-3116
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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