Casa Solana Inc

Organization Active NPI Substance Abuse Rehabilitation Facility · Grover Beach, CA

NPI 1609324573 · NPPES record last updated Sep 20, 2016

Key facts

NPI
1609324573
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
CASA SOLANA INC
Practice address
383 S 13TH St
Grover Beach, CA 93433-2532
Phone
(805) 481-8555
Fax
(805) 481-6509
NPI assigned
Sep 20, 2016
Organization subpart
No

Authorized official

Name
Kimberlena Marian Gossner-Lee
Title
Executive Director
Phone
(805) 481-8555

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

383 S 13TH St
Grover Beach, CA 93433-2532

Mailing address

383 S 13TH St
Grover Beach, CA 93433-2532
Phone (805) 481-8555

Other providers in Grover Beach, CA

All providers in Grover Beach, CA · Substance Abuse Rehabilitation Facility in California

Sources for this page

Verify at the official NPI Registry.