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SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION NPI 1679061816


NPI Information

NPI: 1679061816
Provider Name: SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION

Doing Business As: SPARTAN HOUSE, LLC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1068 SAN PABLO CIR
COSTA MESA, CA
ZIP 92626
Phone: (714) 760-4052
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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 1679061816. The provider is registered as an organization entity type.
The provider Is Doing Business As Spartan House, Llc.

The provider's business location address is:

1068 SAN PABLO CIR
COSTA MESA, CA
ZIP 92626-614
Phone: (714) 760-4052

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 4/24/2018 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 Facility300313FPCALIFORNIAYes

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: 11/14/2023

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