Coastal Mountain Youth Academy

LBN: Coastal Mountain Youth Academy
Coastal Mountain Youth Academy is an health care organization with primary practice located at 33171 Paseo Cerveza Suite 120, San Juan Capistrano CA 92675-4870. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Coastal Mountain Youth Academy can be contacted via phone (949) 498-7042, or through White, Kelley via phone (949) 498-7042.

Contact Information

Primary practice address
33171 Paseo Cerveza Suite 120 San Juan Capistrano CA 92675-4870
Phone: (949) 498-7042
Fax: (949) 248-2870
Website:
Map and Directions
Authorized official contact:
Name: White, Kelley
Phone: (949) 498-7042

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1801156831
LBN Legal business name Coastal Mountain Youth Academy
DBA Doing business as
Authorized official White, Kelley
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2012
Last updated May 23rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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