Beachside Recovery LLC
NPI #1962880914 in Dana Point, California
Provider Information
- NPI Number
- 1962880914
- Entity Type
- Organization
- Organization Name
- Beachside Recovery LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 11, 2015
- Last Updated
- May 11, 2015
Practice Location
- Address
- 24662 SANTA CLARA AVE
- City
- Dana Point
- State
- California
- ZIP Code
- 92629-3026
- Phone
- (949) 393-4070
Authorized Official
- Name
- DARRYLE MACKELVEY
- Title
- SUPERVISOR
- Phone
- (949) 430-2874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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