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COASTAL RECOVERY, INC.
NPI 1013459569
Substance Abuse Rehabilitation Facility in Fountain Valley, CA

Active since November 15, 2016
11851 WISTERIA AVE, FOUNTAIN VALLEY, CA 92708(949) 642-4150(949) 642-3441 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2016, Nov 15, 2016 (2 updates tracked since 2016).

About Coastal Recovery, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL RECOVERY, INC. (NPI 1013459569) is a healthcare organization registered as a substance abuse rehabilitation facility in Fountain Valley, California and active in the NPI registry since November 2016. The organization lists Marshall Anthony Eddy, President, as its authorized official.

NPPES Registry Identity

NPI1013459569
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCOASTAL RECOVERY, INC.
Location Address11851 WISTERIA AVEFountain Valley, CA 92708-2654
Mailing Address11851 Wisteria AveFountain Valley, CA 92708-2654 · (949) 642-4150 · Fax (949) 642-3441
Phone(949) 642-4150
Fax(949) 642-3441
Organization SubpartNo
Authorized OfficialMarshall Anthony EddyPresident · (949) 413-1390
Enumeration DateNovember 15, 2016
Last NPPES UpdateDecember 22, 20162 updates tracked since enumeration
✔ NPI 1013459569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
11851 WISTERIA AVE, Fountain Valley, CA 92708
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC CITY RECOVERY
Substance Abuse Rehabilitation Facility
11851 WISTERIA AVE
FOUNTAIN VALLEY, CA 92708
Orange County (949) 642-4150
RESURGENCE CALIFORNIA, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11851 WISTERIA AVE
FOUNTAIN VALLEY, CA 92708
Orange County (888) 700-5053
SOUTH COAST BEHAVIORAL HEALTH
Substance Abuse Rehabilitation Facility
11851 WISTERIA AVE
FOUNTAIN VALLEY, CA 92708
Orange County (949) 531-1821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Recovery, Inc.'s NPI number?

The NPI number for Coastal Recovery, Inc. is 1013459569. It was assigned to this organization in the NPPES registry on November 15, 2016.

Where is Coastal Recovery, Inc. located?

Coastal Recovery, Inc. is located at 11851 Wisteria Ave, Fountain Valley, CA 92708. The listed phone number is (949) 642-4150.

What is Coastal Recovery, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Coastal Recovery, Inc. was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.