Organization
SOUTH COAST BEHAVIORAL HEALTH
Active
Parent organization
SOUTH COAST BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH COAST BEHAVIORAL HEALTH
Authorized official
KYLEE BRINEY (EXECUTIVE DIRECTOR)
(949) 531-1821
Entity
Organization
Contact information
Practice address
11851 WISTERIA AVE, FOUNTAIN VALLEY, CA 92708-2654
(949) 531-1821
Mailing address
2220 UNIVERSITY DR, NEWPORT BEACH, CA 92660-3319
(949) 531-1821
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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