| NPI | 1306354634 |
|---|---|
| Doing Business As | SEA CHANGE SANTA MONICA |
| Entity Type | Organization |
| Authorized Contact | ALEXXIS KYLA AMES Insurance Manager 424-330-0396 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190831BP) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190831CP) |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 190831AP) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2021-01-19 |