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SOUTH BAY CONNECT TREATMENT CENTER
NPI 1346790730
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since October 10, 2016
916 N WESTERN AVE STE 210, SAN PEDRO, CA 90732(310) 776-7406 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 20, 2017 and 3 more (6 updates tracked since 2016).

About South Bay Connect Treatment Center NPPES

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

SOUTH BAY CONNECT TREATMENT CENTER (NPI 1346790730) is a healthcare organization registered as an addiction (substance use disorder) in San Pedro, California and active in the NPI registry since October 2016. The organization maintains a secondary practice location in San Pedro and lists Alicia Ann Macgowan, Founder, as its authorized official.

NPPES Registry Identity

NPI1346790730
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSOUTH BAY CONNECT TREATMENT CENTER
Location Address916 N WESTERN AVE STE 210San Pedro, CA 90732-2407
Mailing Address916 N Western Ave, Suite 210San Pedro, CA 90732-2435 · (310) 776-7406
Phone(310) 776-7406
Organization SubpartNo
Authorized OfficialAlicia Ann MacgowanFounder · (310) 776-7406
Enumeration DateOctober 10, 2016
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
✔ NPI 1346790730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 21303
916 N WESTERN AVE STE 210, San Pedro, CA 90732
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Secondary Practice Location 1

Location 1916 N Western Ave Ste 210San Pedro, CA 90732-2407 · Phone (310) 776-7406

Other Identifiers 1

Other1619157716CA · Nppes

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

INTEGRATION CORPORATION
Counselor (Mental Health)
916 N WESTERN AVE STE 210
SAN PEDRO, CA 90732
Los Angeles County (310) 508-9531
JILL VERMEIRE M.F.T.
Marriage & Family Therapist
916 N WESTERN AVE STE 210
SAN PEDRO, CA 90732
Los Angeles County (310) 751-0509
CHARLES FRANKLIN MILLER ASW
Counselor (Mental Health)
916 N WESTERN AVE STE 210
SAN PEDRO, CA 90732
Los Angeles County (866) 519-7722
CARRISSA MICHELLE DAINO JONES
Marriage & Family Therapist
916 N WESTERN AVE STE 210
SAN PEDRO, CA 90732
Los Angeles County (310) 957-2099

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 South Bay Connect Treatment Center's NPI number?

The NPI number for South Bay Connect Treatment Center is 1346790730. It was assigned to this organization in the NPPES registry on October 10, 2016.

Where is South Bay Connect Treatment Center located?

South Bay Connect Treatment Center is located at 916 N Western Ave Ste 210, San Pedro, CA 90732. The listed phone number is (310) 776-7406.

What is South Bay Connect Treatment Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for South Bay Connect Treatment Center was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.