SUMMIT COASTAL LIVING
Residential Treatment Facilities at Wilson St, Costa Mesa, CA

License number
California C50412
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: MR. KEITH B RANDLE
Title: PRESIDENT
Phone: (949) 689-8880
Address
Address 2
165 E Wilson St #B, Costa Mesa, CA 92627
PO Box 2028, Newport Beach, CA 92659
National Provider ID: 1831552850
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Summit Coastal Living, Inc

Newport Beach, CA

Registration:
Sep 6, 2013
Addresses:
140 Newport Ctr Dr, Newport Beach, CA 92660
2100 Highland Dr, Newport Beach, CA 92660
State ID:
03601734
Business type:
Articles of Incorporation
President:
Keith Baden Randle (President)

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