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COACHELLA VALLEY RECOVERY CENTER INC. NPI 1417625633


NPI Information

NPI: 1417625633
Provider Name: COACHELLA VALLEY RECOVERY CENTER INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2294856

Address:
29660 AVENIDA LA VISTA
CATHEDRAL CITY, CA
ZIP 92234
Phone: (818) 314-2112
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COACHELLA VALLEY RECOVERY CENTER INC. is a substance abuse rehabilitation facility in Cathedral City, 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. COACHELLA VALLEY RECOVERY CENTER INC. NPI is 1417625633. The provider is registered as an organization entity type.

The provider's business location address is:

29660 AVENIDA LA VISTA
CATHEDRAL CITY, CA
ZIP 92234-822
Phone: (818) 314-2112

The provider's authorized official is Steve Canino .
The authorized official title is Ceo and has the following contact phone number (818) 314-2112.

The CLIA number assigned to this NPI record is 05D2294856 - other - drug alcohol treatment ce with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 4/19/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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

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