NPI | 1134158231 |
---|---|
Doing Business As | SHORELINE BEHAVIORAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | JOHN F COFFIN Executive Director 834-365-8884 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: SC OTP-016) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2023-05-30 |