CALIFORNIA COASTAL RECOVERY CENTERS NPI 1609303924

NPI Information

CALIFORNIA COASTAL RECOVERY CENTERS is a rehabilitation and substance use disorder clinic center in Encinitas, CA. CALIFORNIA COASTAL RECOVERY CENTERS NPI is 1609303924. The provider is registered as an organization entity type.
The provider Is Doing Business As Immersive Recovery.

The provider's business location address is:

2236 ENCINITAS BLVD STE DEFGH
ENCINITAS, CA
ZIP 92024-352
Phone: (858) 342-9151

The provider's authorized official is Wesley Heim .
The authorized official title is Program Administrator and has the following contact phone number (858) 342-9151.

The CLIA number assigned to this NPI record is 05D2289235 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2017 and was last updated on 9/7/2022.

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:

Other Identifiers

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