EXPERIENCE RECOVERY DETOX & RESIDENTIAL LLC. NPI 1194250258

NPI Information

NPI: 1194250258
Provider Name: EXPERIENCE RECOVERY DETOX & RESIDENTIAL LLC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3919 W HAZARD AVE
SANTA ANA, CA
ZIP 92703
Phone: (714) 713-5272
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EXPERIENCE RECOVERY DETOX & RESIDENTIAL LLC. is a substance abuse rehabilitation facility in Santa Ana, 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. EXPERIENCE RECOVERY DETOX & RESIDENTIAL LLC. NPI is 1194250258. The provider is registered as an organization entity type.

The provider's business location address is:

3919 W HAZARD AVE
SANTA ANA, CA
ZIP 92703-625
Phone: (714) 713-5272

The provider's authorized official is Jean Ann Dockery .
The authorized official title is Director Of Rcm and has the following contact phone number (800) 870-3973.

The enumeration date for this NPI number is 4/26/2017 and was last updated on 2/13/2021.

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				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

NPI Synchronization or Removal

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