| NPI | 1952106551 |
|---|---|
| Doing Business As | SAN DIEGO COASTAL RECOVERY |
| Entity Type | Organization |
| Authorized Contact | TERRIS BOLDEN Mbr 619-234-6192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |