05D2146125 CLIA NUMBER - SHORELINE RECOVERY CENTER LLC

Laboratory Demographics

CLIA Number: 05D2146125

Facility Name: SHORELINE RECOVERY CENTER LLC

Facility Address:
183 CALLE MAGDALENA STE 101
ENCINITAS, CA
ZIP 92024
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Facility Phone Number: 866 278-8495

Facility Type: Other - OUTPATIENT BEHAVIORAL HEA

Certificate Type: Waiver

NPI Number: 1003322033

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	05D2146125
LAB Type	Other - OUTPATIENT BEHAVIORAL HEA
Facility Name	SHORELINE RECOVERY CENTER LLC
Street	183 CALLE MAGDALENA STE 101
City	ENCINITAS
State	CA
ZIP	92024
Phone	866 278-8495
CertificateType	4
CertificateEffectiveDate	3/22/2024
CertificateExpirationDate	3/21/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024