NDR PACIFIC INC NPI 1023403714

NPI Information

NPI: 1023403714
Provider Name: NDR PACIFIC, INC

Doing Business As: CALIFORNIA COAST DETOX & REHAB

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
24482 CARACAS ST
DANA POINT, CA
ZIP 92629
Phone: (949) 218-8174
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NDR PACIFIC, INC is a substance abuse rehabilitation facility in Dana Point, 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. NDR PACIFIC, INC NPI is 1023403714. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As California Coast Detox & Rehab.

The provider's business location address is:

24482 CARACAS ST
DANA POINT, CA
ZIP 92629-320
Phone: (949) 218-8174
Fax: (866) 703-9903

The provider's authorized official is Reiner Vincent Nusbaum .
The authorized official title is Administrator and has the following contact phone number (949) 235-8258.

The enumeration date for this NPI number is 3/31/2015 and was last updated on 3/31/2015.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	300306AP	CALIFORNIA	No
2	101YM0800X	Counselor	Mental Health	300306AP	CALIFORNIA	No
3	101YP2500X	Counselor	Professional	300306AP	CALIFORNIA	No
4	324500000X	Substance Abuse Rehabilitation Facility		300306AP	CALIFORNIA	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: 4/28/2024

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