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PRODUCTS FOR RECOVERY MANAGEMENT GROUP LLC NPI 1265810311


NPI Information

NPI: 1265810311
Provider Name: PRODUCTS FOR RECOVERY MANAGEMENT GROUP, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
24482 CARACAS ST.
DANA POINT, CA
ZIP 92629
Phone: (949) 835-0123
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PRODUCTS FOR RECOVERY MANAGEMENT GROUP, LLC is a substance abuse rehabilitation facility in Dana Point, 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. PRODUCTS FOR RECOVERY MANAGEMENT GROUP, LLC NPI is 1265810311. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24482 CARACAS ST.
DANA POINT, CA
ZIP 92629-167
Phone: (949) 835-0123
Fax: (657) 235-0178

The provider's authorized official is Eric Cunningham .
The authorized official title is Cfo and has the following contact phone number (949) 835-0123.

The enumeration date for this NPI number is 5/9/2015 and was last updated on 10/9/2018.


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
1207RA0401XInternal MedicineAddiction MedicineA51101CALIFORNIANo
2324500000XSubstance Abuse Rehabilitation FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11235407131OTHERCALIFORNIANPI

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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