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RECOVERY BAY REHABILITATION CENTER LLC NPI 1508240268


NPI Information

NPI: 1508240268
Provider Name: RECOVERY BAY REHABILITATION CENTER, LLC

Doing Business As: ADDICTION RECOVERY REHAB

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
18912 PATRICIAN DR
VILLA PARK, CA
ZIP 92861
Phone: (949) 887-6379
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RECOVERY BAY REHABILITATION CENTER, LLC is a substance abuse rehabilitation facility in Villa Park, 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. RECOVERY BAY REHABILITATION CENTER, LLC NPI is 1508240268. The provider is registered as an organization entity type.
The provider Is Doing Business As Addiction Recovery Rehab.

The provider's business location address is:

18912 PATRICIAN DR
VILLA PARK, CA
ZIP 92861-214
Phone: (949) 887-6379

The provider's authorized official is Izzy Hirson .
The authorized official title is Ceo/executive Director and has the following contact phone number (949) 887-6379.

The enumeration date for this NPI number is 7/13/2015 and was last updated on 7/13/2015.


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 Facility300300APCALIFORNIAYes

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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