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 |