NPI 1578497285
Behavioral Health Programs
Practice location
- Address
- 3725 Main St, Moss Point, MS 39563-5107
- Phone
- (949) 313-5245
- Mailing address
- PO Box 9296, Laguna Beach, CA 92652-7261
Authorised official
- Name
- Jason Bieneman
- Title
- Administration
- Phone
- (949) 313-5238
Registered specialties (2)
Psychiatric Residential Treatment Facility
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1578497285
- Entity type
- Organization
- NPI issued
- 9 Jun 2026
- Record last updated
- 9 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.