CALIFORNIA COASTAL RECOVERY CENTERS NPI 1609303924

NPI Information

CALIFORNIA COASTAL RECOVERY CENTERS is a substance abuse rehabilitation facility in San Marcos, 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. CALIFORNIA COASTAL RECOVERY CENTERS NPI is 1609303924. The provider is registered as an organization entity type.
The provider Is Doing Business As Immersive Recovery.

The provider's business location address is:

1582 W SAN MARCOS BLVD STE 301
SAN MARCOS, CA
ZIP 92078-081
Phone: (858) 880-4516

The provider's authorized official is Wesley Heim .
The authorized official title is Program Administrator and has the following contact phone number (858) 342-9151.

The CLIA number assigned to this NPI record is 05D2135218 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2017 and was last updated on 5/17/2017.

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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