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PRESENT MOMENTS RECOVERY NPI 1285013672


NPI Information

NPI: 1285013672
Provider Name: PRESENT MOMENTS RECOVERY
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2098958

Address:
1809 WINDRIVER ST
SAN MARCOS, CA
ZIP 92078
Phone: (619) 363-4767
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PRESENT MOMENTS RECOVERY is a substance abuse rehabilitation facility in San Marcos, 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. PRESENT MOMENTS RECOVERY NPI is 1285013672. The provider is registered as an organization entity type.

The provider's business location address is:

1809 WINDRIVER ST
SAN MARCOS, CA
ZIP 92078-094
Phone: (619) 363-4767

The provider's authorized official is Mark Gladden .
The authorized official title is Owner, Ceo and has the following contact phone number (619) 363-4767.

The CLIA number assigned to this NPI record is 05D2098958 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2015 and was last updated on 5/19/2015.


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 Facility370148APCALIFORNIAYes

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: 11/14/2023

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