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VETERANS ALCOHOL REHABILITATION PROGRAM INC.-VARP INC. NPI 1659720068


NPI Information

NPI: 1659720068
Provider Name: VETERANS ALCOHOL REHABILITATION PROGRAM, INC.-VARP, INC.

Doing Business As: METCALF RECOVERY RANCH

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2230245

Address:
9826 18TH AVE
BLYTHE, CA
ZIP 92225
Phone: (760) 922-8625
Get Directions

VETERANS ALCOHOL REHABILITATION PROGRAM, INC.-VARP, INC. is a substance abuse rehabilitation facility in Blythe, 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. VETERANS ALCOHOL REHABILITATION PROGRAM, INC.-VARP, INC. NPI is 1659720068. The provider is registered as an organization entity type.
The provider Is Doing Business As Metcalf Recovery Ranch.

The provider's business location address is:

9826 18TH AVE
BLYTHE, CA
ZIP 92225-229
Phone: (760) 922-8625
Fax: (760) 922-6717

The provider's authorized official is Shelly Mattazaro .
The authorized official title is Executive Director and has the following contact phone number (909) 381-3774.

The CLIA number assigned to this NPI record is 05D2230245 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2016 and was last updated on 10/12/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility330020ANCALIFORNIAYes

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: 5/5/2024

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