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PES-EBS.INC. NPI 1316295082


NPI Information

NPI: 1316295082
Provider Name: PES-EBS.INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
340 LINCOLN ST
ROSEVILLE, CA
ZIP 95678
Phone: (530) 863-4720
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PES-EBS.INC. is an addiction (substance use disorder) counselor in Roseville, CA. PES-EBS.INC. NPI is 1316295082. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

340 LINCOLN ST
ROSEVILLE, CA
ZIP 95678-230
Phone: (530) 863-4720
Fax: (530) 888-9065

The provider's authorized official is Debora Anne Martin .
The authorized official title is Program Director and has the following contact phone number (530) 863-4720.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.


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)310021APCALIFORNIAYes

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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