| NPI | 1417760364 |
|---|---|
| Doing Business As | COASTAL RECOVERY CONCEPTS |
| Entity Type | Organization |
| Authorized Contact | JONATHON WHEATON Authorized Officer 619-782-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |