BEACHSIDE RECOVERY LLC NPI 1962880914

NPI Information

BEACHSIDE RECOVERY LLC is a substance abuse rehabilitation facility in Dana Point, 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 LLC NPI is 1962880914. The provider is registered as an organization entity type.

The provider's business location address is:

24662 SANTA CLARA AVE
DANA POINT, CA
ZIP 92629-026
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 (949) 430-2874.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 5/11/2015.

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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