Organization · Type 2 NPI
Coastline Community Health
Mental Health Clinic/Center (Including Community Mental Health Center) · Santa Monica, CA
NPI number
1679967475
Active
Practice location
2009 Main St
Santa Monica, CA 90405-1021
Mailing address
4831 Las Virgenes Rd # 177
Calabasas, CA 91302-1911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | PSY15775 (CA) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | PSY-1519 (HI) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1679967475
Coastline Community Health's National Provider Identifier is 1679967475, issued on Mar 19, 2015. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Santa Monica, CA. The record was last updated on Mar 19, 2015.