| Hotel California By The Sea Cincinnati, Llc. | |
|
4705 Lake Forest Drive Cincinnati OH 45242 | |
| (888) 733-7755 | |
| Not Available |
| Full Name | Hotel California By The Sea Cincinnati, Llc. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4705 Lake Forest Drive, Cincinnati, Ohio |
| Authorized Official Name and Position | Bryan Bixler (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 8887337755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hotel California By The Sea Cincinnati, Llc. 3419 Via Lido Ste 144 Newport Beach CA 92663-3908 Ph: () - | Hotel California By The Sea Cincinnati, Llc. 4705 Lake Forest Drive Cincinnati OH 45242 Ph: (888) 733-7755 |
| NPI Number | 1598241507 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598241507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 01-7637 (Ohio) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 01-7637 (Ohio) | Primary |
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