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THE CENTER FOR DISCOVERY & ADOLESCENT CHANGE NPI 1710253604


NPI Information

NPI: 1710253604
Provider Name: THE CENTER FOR DISCOVERY & ADOLESCENT CHANGE
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 07D2081760

Address:
4136 ANN ARBOR RD
LAKEWOOD, CA
ZIP 90712
Phone: (714) 828-1800
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THE CENTER FOR DISCOVERY & ADOLESCENT CHANGE is a community based residential treatment facility mental illness in Lakewood, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE CENTER FOR DISCOVERY & ADOLESCENT CHANGE NPI is 1710253604. The provider is registered as an organization entity type.

The provider's business location address is:

4136 ANN ARBOR RD
LAKEWOOD, CA
ZIP 90712
Phone: (714) 828-1800
Fax: (714) 828-1868

The provider's authorized official is Mark A Hobbins .
The authorized official title is President And Coo and has the following contact phone number (714) 828-1800.

The CLIA number assigned to this NPI record is 07D2081760 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2012 and was last updated on 7/17/2018.


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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness980001602CALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.