Organization
CENTRAL COAST RECOVERY CENTER LLC
Active
Other names
Santa Barbara Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY HEIM (PARTNER)
(858) 342-9151
Entity
Organization
Contact information
Practice address
801 GARDEN ST STE 101, SANTA BARBARA, CA 93101-1582
(949) 887-3716
Mailing address
801 GARDEN ST STE 101, SANTA BARBARA, CA 93101-1582
(858) 342-9151
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420045AP
STATE CERTIFICATION
CA
Enumeration date
12/01/2021
Last updated
08/18/2022
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