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WELLNESS RECOVERY RETREAT CENTER NPI 1447935804


NPI Information

NPI: 1447935804
Provider Name: WELLNESS RECOVERY RETREAT CENTER

Doing Business As: WELLNESS RETREAT RECOVERY CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
910 CAMPISI WAY STE 2C
CAMPBELL, CA
ZIP 95008
Phone: (408) 478-5806
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WELLNESS RECOVERY RETREAT CENTER is a substance abuse rehabilitation facility in Campbell, 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. WELLNESS RECOVERY RETREAT CENTER NPI is 1447935804. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellness Retreat Recovery Center.

The provider's business location address is:

910 CAMPISI WAY STE 2C
CAMPBELL, CA
ZIP 95008-351
Phone: (408) 478-5806

The provider's authorized official is Angel Garcia .
The authorized official title is Ceo and has the following contact phone number (855) 762-3797.

The enumeration date for this NPI number is 6/21/2023 and was last updated on 6/29/2023.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance 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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