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COASTAL BREEZE RECOVERY LLC NPI 1528316577


NPI Information

NPI: 1528316577
Provider Name: COASTAL BREEZE RECOVERY, LLC

Doing Business As: AWAKENINGS BY THE SEA

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1325 N HOLLADAY DR
SEASIDE, OR
ZIP 97138
Phone: (503) 738-7700
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COASTAL BREEZE RECOVERY, LLC is a substance abuse rehabilitation facility in Seaside, OR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. COASTAL BREEZE RECOVERY, LLC NPI is 1528316577. The provider is registered as an organization entity type.
The provider Is Doing Business As Awakenings By The Sea.

The provider's business location address is:

1325 N HOLLADAY DR
SEASIDE, OR
ZIP 97138-131
Phone: (503) 738-7700
Fax: (503) 738-7733

The provider's authorized official is Josie R Herndon .
The authorized official title is Ceo and has the following contact phone number (760) 413-2055.

The enumeration date for this NPI number is 8/23/2012 and was last updated on 8/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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