Organization
BEACHFRONT SOBER LIVING, INC
Active
Other names
Beachfront Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM SHANDROW (COO)
(949) 763-4175
Entity
Organization
Contact information
Practice address
1730 POMONA AVE, COSTA MESA, CA 92627-3628
(562) 972-3955
Mailing address
1730 POMONA AVE, COSTA MESA, CA 92627-3628
(562) 972-3955
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
01/06/2025
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