| Organization Name: | FAITH BY THE SEA, INC. |
| NPI Number: | 1023403037 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD ZONA (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 27129 Calle Arroyo Suite 1821 San Juan Capistrano |
| State: | CA US |
| Postal Code: | 926752764 |
| Phone Number: | 9495428480 |
| Fax Number: | 9494293698 |
| NPI Enumeration Date: | 04/06/2015 |
| NPI Last Update Date: | 01/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 300309AP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |