PILLARS RECOVERY LLC NPI 1861051799

NPI Information

NPI: 1861051799
Provider Name: PILLARS RECOVERY, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 05D2091554

Address:
1545 NEWPORT BLVD
COSTA MESA, CA
ZIP 92627
Phone: (949) 548-2700
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PILLARS RECOVERY, LLC is a rehabilitation and substance use disorder clinic center in Costa Mesa, CA. PILLARS RECOVERY, LLC NPI is 1861051799. The provider is registered as an organization entity type.

The provider's business location address is:

1545 NEWPORT BLVD
COSTA MESA, CA
ZIP 92627-714
Phone: (949) 548-2700

The provider's authorized official is Peter Gates .
The authorized official title is Chief Operating Officer and has the following contact phone number (949) 701-1959.

The CLIA number assigned to this NPI record is 05D2091554 - other - trtmnt resid detox with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2019 and was last updated on 6/13/2019.

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
1	324500000X	Substance Abuse Rehabilitation Facility				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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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