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SOUTH COAST BEHAVIORAL HEALTH NPI 1760970909


NPI Information

NPI: 1760970909
Provider Name: SOUTH COAST BEHAVIORAL HEALTH

Doing Business As: BRIDGE HOUSE, LLC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
559 PIERPONT DR
COSTA MESA, CA
ZIP 92626
Phone: (675) 245-3272
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SOUTH COAST BEHAVIORAL HEALTH 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 NPI is 1760970909. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridge House, Llc.

The provider's business location address is:

559 PIERPONT DR
COSTA MESA, CA
ZIP 92626-108
Phone: (675) 245-3272

The provider's authorized official is Kylee Briney .
The authorized official title is Executive Director and has the following contact phone number (949) 531-1821.

The enumeration date for this NPI number is 4/24/2018 and was last updated on 6/14/2022.


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 Facility300313DPCALIFORNIAYes

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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