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SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION NPI 1093202434


NPI Information

NPI: 1093202434
Provider Name: SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3151 AIRWAY AVE STE T2
COSTA MESA, CA
ZIP 92626
Phone: (714) 312-5058
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SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION 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. SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION NPI is 1093202434. The provider is registered as an organization entity type.

The provider's business location address is:

3151 AIRWAY AVE STE T2
COSTA MESA, CA
ZIP 92626-627
Phone: (714) 312-5058

The provider's authorized official is Rebecca Harris .
The authorized official title is Cfo and has the following contact phone number (949) 467-4324.

The enumeration date for this NPI number is 4/20/2018 and was last updated on 3/2/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility300313CPCALIFORNIANo
2324500000XSubstance Abuse Rehabilitation Facility300313BPCALIFORNIANo
3324500000XSubstance Abuse Rehabilitation Facility300313DPCALIFORNIANo
4324500000XSubstance Abuse Rehabilitation Facility300313FPCALIFORNIANo
5324500000XSubstance Abuse Rehabilitation Facility300313APCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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