Organization · Type 2 NPI

Sea Change Santa Monica, LP

Substance Abuse Rehabilitation Facility · Santa Monica, CA

NPI number 1306354634 Active

Practice location

1807 Pier Ave
Santa Monica, CA 90405-5947

Call (888) 823-3310 Map

Fax (323) 843-9800

Mailing address

1831 Wilshire Blvd Ste C
Santa Monica, CA 90403-5778

Other practice locations

1831 Wilshire Blvd Ste C, Santa Monica, CA 90403-5778 · (424) 330-0396
2205 Hill St, Santa Monica, CA 90405-5007 · (888) 823-3310
1051 Princeton St, Santa Monica, CA 90403 · (888) 823-3310

Specialties and licenses

Taxonomy	Code	License
Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	190831AP (CA)
Substance Abuse Rehabilitation Facility Primary	324500000X	190831BP (CA)
Substance Abuse Rehabilitation Facility	324500000X	190831CP (CA)
Substance Abuse Rehabilitation Facility	324500000X	None listed

Substance Abuse Rehabilitation Facility: 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.

Another provider at this address

Sea ChangeSubstance Abuse Rehabilitation Facility Santa Monica, CA NPI 1265136758

Other substance abuse rehabilitation facility providers in Santa Monica

See all in Santa Monica →

NPI record

NPI: 1306354634
Entity type: Organization (Type 2)
Issued: Jan 22, 2018
Last updated: Jan 19, 2021
Status: Active
Subpart: Yes of Sea Change Santa Monica, L.p.

Other names

<unavail>
Sea Change Santa Monica · doing business as

Authorized official

Alexxis Kyla Ames
Insurance Manager
(424) 330-0396

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306354634

Sea Change Santa Monica, LP's National Provider Identifier is 1306354634, issued on Jan 22, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Santa Monica, CA. The record was last updated on Jan 19, 2021.