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DUFFY'S MYRTLEDALE INC. NPI 1275797151


NPI Information

NPI: 1275797151
Provider Name: DUFFY'S MYRTLEDALE, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3076 MYRTLEDALE RD
CALISTOGA, CA
ZIP 94515
Phone: (707) 942-6888
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DUFFY'S MYRTLEDALE, INC. is a substance abuse rehabilitation facility in Calistoga, 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. DUFFY'S MYRTLEDALE, INC. NPI is 1275797151. The provider is registered as an organization entity type.

The provider's business location address is:

3076 MYRTLEDALE RD
CALISTOGA, CA
ZIP 94515-052
Phone: (707) 942-6888
Fax: (707) 942-4819

The provider's authorized official is Debbie Duffy .
The authorized official title is Executive Director and has the following contact phone number (707) 942-6888.

The enumeration date for this NPI number is 7/10/2008 and was last updated on 7/10/2008.


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 Facility280002APCALIFORNIAYes

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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