| Shoreline Recovery Center, Llc | |
|
183 Calle Magdalena Ste 101 Encinitas CA 92024-3793 | |
| (858) 900-5079 | |
| Not Available |
| Full Name | Shoreline Recovery Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 183 Calle Magdalena Ste 101, Encinitas, California |
| Authorized Official Name and Position | Robert Wilson (LLC MANAGER/CEO) |
| Authorized Official Contact | 8589005079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Recovery Center, Llc 1106 2nd St # 192 Encinitas CA 92024-5008 Ph: (858) 900-5079 | Shoreline Recovery Center, Llc 183 Calle Magdalena Ste 101 Encinitas CA 92024-3793 Ph: (858) 900-5079 |
| NPI Number | 1003322033 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003322033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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