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MFI RECOVERY NPI 1346694817


NPI Information

NPI: 1346694817
Provider Name: MFI RECOVERY

Other Name: LA VISTA, A PROGRAM OF MFI RECOVERY CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2220 GIRARD STREET
SUITE B
SAN JACINTO, CA
ZIP 92583
Phone: (951) 683-6596
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MFI RECOVERY is a substance abuse rehabilitation facility in San Jacinto, 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. MFI RECOVERY NPI is 1346694817. The provider is registered as an organization entity type.
The provider Other Name Is La Vista, A Program Of Mfi Recovery Center.

The provider's business location address is:

2220 GIRARD STREET
SUITE B
SAN JACINTO, CA
ZIP 92583-301
Phone: (951) 683-6596
Fax: (951) 683-4239

The provider's authorized official is Jason Poplar .
The authorized official title is Chief Operating Officer and has the following contact phone number (951) 683-6596.

The enumeration date for this NPI number is 4/20/2016 and was last updated on 7/17/2023.


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 Facility330013SNCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102443200MEDICAIDCALIFORNIA

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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