Provider Type Icon

LAKE ARROWHEAD RECOVERY CENTER NPI 1730638925


NPI Information

NPI: 1730638925
Provider Name: LAKE ARROWHEAD RECOVERY CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
28729 PALISADES DRIVE
LAKE ARROWHEAD, CA
ZIP 92352
Phone: (435) 590-4147
Get Directions

LAKE ARROWHEAD RECOVERY CENTER is a substance abuse rehabilitation facility in Lake Arrowhead, 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. LAKE ARROWHEAD RECOVERY CENTER NPI is 1730638925. The provider is registered as an organization entity type.

The provider's business location address is:

28729 PALISADES DRIVE
LAKE ARROWHEAD, CA
ZIP 92352
Phone: (435) 590-4147

The provider's authorized official is Michael Shawn Valdez .
The authorized official title is Physician/medical Director and has the following contact phone number (909) 553-0626.

The enumeration date for this NPI number is 9/28/2016 and was last updated on 9/28/2016.


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 FacilityCALIFORNIAYes

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

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.