South Coast Traverse in Mission Viejo - Residential Treatment Facility, Emotionally Disturbed Children
South Coast Traverse - NPI 1982879813
South Coast Traverse is a Residential Treatment Facility, Emotionally Disturbed Children in Mission Viejo, California. South Coast Traverse practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for South Coast Traverse is 1982879813. The last update date is 2022-08-01.
South Coast Traverse's current location address is 25910 Acero Ste 160, Mission Viejo, California. You can contact this provider via phone number 9099806700. The mailing address for South Coast Traverse is 25910 Acero Ste 160, Mission Viejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Coast Traverse |
|---|---|
| Address | 25910 Acero Ste 160, Mission Viejo, California |
| Phone Number | 9099806700 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mc Guirk Ellen |
| Telephone Number | 9492445757 |
NPI Number Detail
| NPI Number | 1982879813 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2022-08-01 |
Provider Mailing Address Detail
| Address | 25910 Acero Ste 160 |
|---|---|
| City | Mission Viejo |
| State | California (CA) |
| Post Code | 926912777 |
| Phone Number | 9099806700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique identifier code issued to South Coast Traverse by the Centers for Medicare & Medicaid Services?
The South Coast Traverse has been assigned the NPI (National Provider Identifier) 1982879813. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of South Coast Traverse?
The South Coast Traverse is physically situated at 25910 Acero Ste 160, in the city of Mission Viejo, state of CA, with the postal code 926912777.
What is South Coast Traverse's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The South Coast Traverse's specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.
On what date was the 1982879813 assigned to South Coast Traverse?
The South Coast Traverse was issued its 1982879813 on 2008-04-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the South Coast Traverse's details last updated?
The information pertaining to the South Coast Traverse, including its address, specialty, and other details, was most recently updated on 2022-08-01.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY