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HUMBOLDT RECOVERY CENTER INC. NPI 1073023107


NPI Information

NPI: 1073023107
Provider Name: HUMBOLDT RECOVERY CENTER INC.,

Former Legal Business Name: EUREKA 12 STEP HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1303 11TH ST
EUREKA, CA
ZIP 95501
Phone: (707) 443-4237
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HUMBOLDT RECOVERY CENTER INC., is a substance abuse rehabilitation facility in Eureka, CA. The provider is 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. HUMBOLDT RECOVERY CENTER INC., NPI is 1073023107. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Eureka 12 Step House.

The provider's business location address is:

1303 11TH ST
EUREKA, CA
ZIP 95501
Phone: (707) 443-4237
Fax: (707) 442-1191

The provider's authorized official is Kym Coleman .
The authorized official title is Board President and has the following contact phone number (707) 443-4237.

The enumeration date for this NPI number is 10/3/2017 and was last updated on 10/3/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility120001ANCALIFORNIAYes
2324500000XSubstance Abuse Rehabilitation Facility120001BNCALIFORNIANo
3324500000XSubstance Abuse Rehabilitation Facility120001DNCALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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