| NPI | 1083882484 |
|---|---|
| Doing Business As | COASTAL RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREA C ADAMS Clinic Director 310-549-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |