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WATERFRONT RECOVERY SERVICES NPI 1417307125


NPI Information

NPI: 1417307125
Provider Name: WATERFRONT RECOVERY SERVICES

Doing Business As: WATERFRONT RECOVERY SERVICES

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2413 2ND ST
EUREKA, CA
ZIP 95501
Phone: (707) 269-9590
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WATERFRONT RECOVERY SERVICES 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. WATERFRONT RECOVERY SERVICES NPI is 1417307125. The provider is registered as an organization entity type.
The provider Is Doing Business As Waterfront Recovery Services.

The provider's business location address is:

2413 2ND ST
EUREKA, CA
ZIP 95501-811
Phone: (707) 269-9590
Fax: (707) 445-2599

The provider's authorized official is John Bernard Mcmanus .
The authorized official title is Executive Director and has the following contact phone number (707) 445-1391.

The enumeration date for this NPI number is 6/14/2016 and was last updated on 11/13/2017.


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 Facility120009ANCALIFORNIAYes

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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