| NPI | 1639359086 |
|---|---|
| Doing Business As | SOUTHCOAST RECOVERY |
| Entity Type | Organization |
| Authorized Contact | DENNIS LARKIN CEO 949-273-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300177AP) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 30077AP) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2008-07-15 |