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WEST COAST WELLNESS CENTERS LLC NPI 1326415613


NPI Information

NPI: 1326415613
Provider Name: WEST COAST WELLNESS CENTERS LLC

Doing Business As: WELLNESS COUNSELING VIDA ENTERA

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
31631 AUTO CENTER DR
LAKE ELSINORE, CA
ZIP 92530
Phone: (623) 388-3353
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WEST COAST WELLNESS CENTERS LLC is a substance abuse rehabilitation facility in Lake Elsinore, 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. WEST COAST WELLNESS CENTERS LLC NPI is 1326415613. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellness Counseling Vida Entera.

The provider's business location address is:

31631 AUTO CENTER DR
LAKE ELSINORE, CA
ZIP 92530-523
Phone: (623) 388-3353

The provider's authorized official is Edward Rousseau .
The authorized official title is Chief Administrative Officer and has the following contact phone number (772) 266-7682.

The enumeration date for this NPI number is 8/21/2015 and was last updated on 11/7/2018.


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
1324500000XSubstance Abuse Rehabilitation Facility330133HPCALIFORNIANo
2324500000XSubstance Abuse Rehabilitation Facility330133DPCALIFORNIANo
3324500000XSubstance Abuse Rehabilitation Facility330133BPCALIFORNIANo
4324500000XSubstance Abuse Rehabilitation Facility330133CPCALIFORNIANo
5324500000XSubstance Abuse Rehabilitation Facility330133FPCALIFORNIANo
6324500000XSubstance Abuse Rehabilitation Facility330133GPCALIFORNIANo
7324500000XSubstance Abuse Rehabilitation Facility330133APCALIFORNIAYes

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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