Sea Change Santa Monica, LP
NPI #1063899524 in Santa Monica, California
Provider Information
- NPI Number
- 1063899524
- Entity Type
- Organization
- Organization Name
- Sea Change Santa Monica, LP
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 4, 2015
- Last Updated
- Jan 19, 2021
Practice Location
- Address
- 1831 WILSHIRE BLVD
- Address 2
- C
- City
- Santa Monica
- State
- California
- ZIP Code
- 90403-5777
- Phone
- (310) 877-6030
Authorized Official
- Name
- CAROLE ANDRESS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (310) 877-6030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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