BEACHSIDE RECOVERY CENTER LLC is a substance abuse rehabilitation facility in Tustin, 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. BEACHSIDE RECOVERY CENTER LLC NPI is 1952815110. The provider is registered as an organization entity type.
The provider's business location address is:
15548 SONORA ST
TUSTIN, CA
ZIP 92782-936
Phone: (949) 393-4070
The provider's authorized official is Darryle Mackelvey .
The authorized official title is Supervisor and has the following contact phone number (714) 948-6086.
The CLIA number assigned to this NPI record is 05D2113849 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/27/2017 and was last updated on 10/28/2019.