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SEA CHANGE RECOVERY 2 LLC NPI 1730883224


NPI Information

NPI: 1730883224
Provider Name: SEA CHANGE RECOVERY 2 LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1831 WILSHIRE BLVD STE CANDC2
SANTA MONICA, CA
ZIP 90403
Phone: (949) 244-5481
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SEA CHANGE RECOVERY 2 LLC is a rehabilitation and substance use disorder clinic center in Santa Monica, CA. SEA CHANGE RECOVERY 2 LLC NPI is 1730883224. The provider is registered as an organization entity type.

The provider's business location address is:

1831 WILSHIRE BLVD STE CANDC2
SANTA MONICA, CA
ZIP 90403-777
Phone: (949) 244-5481

The provider's authorized official is Angela Mcmahon .
The authorized official title is Compliance and has the following contact phone number (619) 871-7345.

The enumeration date for this NPI number is 3/28/2023 and was last updated on 3/28/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 5/5/2024

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