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AWARENESS PROGRAM NPI 1316206907


NPI Information

NPI: 1316206907
Provider Name: AWARENESS PROGRAM
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
45926 OASIS ST
INDIO, CA
ZIP 92201
Phone: (760) 342-1233
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AWARENESS PROGRAM is a rehabilitation and substance use disorder clinic center in Indio, CA. AWARENESS PROGRAM NPI is 1316206907. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45926 OASIS ST
INDIO, CA
ZIP 92201-559
Phone: (760) 342-1233
Fax: (760) 342-5344

The provider's authorized official is Karen C. Wikert .
The authorized official title is Administrator and has the following contact phone number (760) 342-1233.

The enumeration date for this NPI number is 5/16/2012 and was last updated on 1/24/2017.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2251S00000XCommunity/Behavioral HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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