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MONTEREY BAY RECOVERY AND REHABILITATION LLC NPI 1689180499


NPI Information

NPI: 1689180499
Provider Name: MONTEREY BAY RECOVERY AND REHABILITATION, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2133568

Address:
9057 SOQUEL DRIVE
BUILDING A, SUITE G
APTOS, CA
ZIP 95003
Phone: (855) 734-2207
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MONTEREY BAY RECOVERY AND REHABILITATION, LLC is a substance abuse rehabilitation facility in Aptos, 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. MONTEREY BAY RECOVERY AND REHABILITATION, LLC NPI is 1689180499. The provider is registered as an organization entity type.

The provider's business location address is:

9057 SOQUEL DRIVE
BUILDING A, SUITE G
APTOS, CA
ZIP 95003
Phone: (855) 734-2207

The provider's authorized official is Nathan Tuddenham .
The authorized official title is Chief Operating Officer and has the following contact phone number (831) 740-4629.

The CLIA number assigned to this NPI record is 05D2133568 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2017 and was last updated on 9/20/2022.


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 FacilityYes

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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