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SYNTHESIS RECOVERY INC. NPI 1073174546


NPI Information

NPI: 1073174546
Provider Name: SYNTHESIS RECOVERY INC.

Doing Business As: SYNTHESIS RECOVERY CENTERS

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1752 CORRAL CANYON RD
MALIBU, CA
ZIP 90265
Phone: (310) 498-3626
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SYNTHESIS RECOVERY INC. is a substance abuse rehabilitation facility in Malibu, 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. SYNTHESIS RECOVERY INC. NPI is 1073174546. The provider is registered as an organization entity type.
The provider Is Doing Business As Synthesis Recovery Centers.

The provider's business location address is:

1752 CORRAL CANYON RD
MALIBU, CA
ZIP 90265-906
Phone: (310) 498-3626

The provider's authorized official is Sergei Vidov .
The authorized official title is Ceo and has the following contact phone number (310) 498-3626.

The enumeration date for this NPI number is 6/25/2019 and was last updated on 2/5/2024.


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 FacilityYes

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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