TEAGLE HALL LLC NPI 1083224794

NPI Information

TEAGLE HALL LLC is a substance abuse rehabilitation facility in Costa Mesa, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. TEAGLE HALL LLC NPI is 1083224794. The provider is registered as an organization entity type.

The provider's business location address is:

316 HAMILTON ST
COSTA MESA, CA
ZIP 92627-024
Phone: (877) 713-2669

The provider's authorized official is Jesse Kellert .
The authorized official title is Ceo and has the following contact phone number (949) 244-2279.

The enumeration date for this NPI number is 8/6/2020 and was last updated on 8/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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