Coastline Support, Inc.
NPI #1063839330 in Santa Cruz, California
Provider Information
- NPI Number
- 1063839330
- Entity Type
- Organization
- Organization Name
- Coastline Support, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 25, 2014
- Last Updated
- Mar 25, 2014
Practice Location
- Address
- 1509 SEABRIGHT AVE.
- Address 2
- C-1
- City
- Santa Cruz
- State
- California
- ZIP Code
- 95062
- Phone
- (831) 426-6436
Authorized Official
- Name
- SCOTT N BEESLEY
- Title
- PRESIDENT
- Phone
- (831) 426-6436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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