SEA CHANGE SANTA MONICA LP NPI 1306354634

NPI Information

SEA CHANGE SANTA MONICA, LP is a substance abuse rehabilitation facility in Santa Monica, 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. SEA CHANGE SANTA MONICA, LP NPI is 1306354634. The provider is registered as an organization entity type.
The provider Is Doing Business As Sea Change Santa Monica.

The provider's business location address is:

1807 PIER AVE
SANTA MONICA, CA
ZIP 90405-947
Phone: (888) 823-3310
Fax: (323) 843-9800

The provider's authorized official is Alexxis Kyla Ames .
The authorized official title is Insurance Manager and has the following contact phone number (424) 330-0396.

The CLIA number assigned to this NPI record is 05D2123983 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2018 and was last updated on 1/19/2021.

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:

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