Organization
SPENCER RECOVERY CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY SALO GARCIA (COO)
(949) 313-5240
Entity
Organization
Contact information
Practice address
1316 S COAST HWY, LAGUNA BEACH, CA 92651-3118
(800) 334-0394
(949) 313-5222
Mailing address
PO BOX 9296, LAGUNA BEACH, CA 92652-7261
(800) 334-0394
(949) 313-5222
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300088AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ60436Z
BLUE SHIELD OF CA
CA
Enumeration date
10/04/2006
Last updated
04/05/2018
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