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Summit Coastal Living
Substance Abuse Rehabilitation Facility in Costa Mesa, California
NPI 1831552850

Summit Coastal Living is a Substance Abuse Rehabilitation Facility based in Newport Beach, CA. Summit Coastal Living practices in Costa Mesa, CA. The NPI Number for Summit Coastal Living is 1831552850 and holds a License No. C50412 (California).

The current practice location address for Summit Coastal Living is 165 E Wilson St # B, Costa Mesa, CA and can be reached out via phone at 949-689-8880.

Location: 165 E Wilson St # B, Costa Mesa, CA, 92659-1028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831552850
Provider Name
Summit Coastal Living
Credential
Provider Entity Type
Organization
Address
165 E Wilson St # B, Costa Mesa, CA, 92659-1028
Phone Number
949-689-8880
Fax Number
Provider Enumeration Date
03/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C50412 01 CA DR. KAMBIZ KARIMI
institution
Provider Business Practice Location Address Details
Address
165 E Wilson St # B
City
Costa Mesa
State
California
Zip
92627-1564
Phone Number
949-689-8880
Fax Number
person
Provider Business Mailing Address Details
Address
165 E Wilson St # B
City
Costa Mesa
State
California
Zip
92627-1564
Phone Number
949-689-8880
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
C50412 (California)
Definition
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.
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