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DIVINE REHABILITATION EDUCATION & HOUSING NETWORK NPI 1871903179


NPI Information

NPI: 1871903179
Provider Name: DIVINE REHABILITATION, EDUCATION, & HOUSING NETWORK

Doing Business As: CROSSROADS RECOVERY CENTERS

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

CLIA Number: 05D2217610

Address:
11503 GLADHILL RD
WHITTIER, CA
ZIP 90604
Phone: (562) 947-3653
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DIVINE REHABILITATION, EDUCATION, & HOUSING NETWORK is a substance abuse rehabilitation facility in Whittier, 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. DIVINE REHABILITATION, EDUCATION, & HOUSING NETWORK NPI is 1871903179. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Recovery Centers.

The provider's business location address is:

11503 GLADHILL RD
WHITTIER, CA
ZIP 90604-202
Phone: (562) 947-3653
Fax: (562) 393-4442

The provider's authorized official is Edgar Villa .
The authorized official title is Ceo and has the following contact phone number (844) 276-7773.

The CLIA number assigned to this NPI record is 05D2217610 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2014 and was last updated on 5/25/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance 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: 11/14/2023

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