Organization
COAST RECOVERY TREATMENT CENTER LLC
Active
Other names
Coast Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE C FROST MPHIL, BPHIL NCDMA (PRESIDENT)
(213) 347-4022
Entity
Organization
Contact information
Practice address
4789 VINELAND AVE, NORTH HOLLYWOOD, CA 91602-3518
(213) 347-4022
Mailing address
5748 WILLOWCREST AVE, NORTH HOLLYWOOD, CA 91601-2122
(213) 347-4022
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/25/2024
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