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RISING ROADS RECOVERY SERVICES FOR WOMEN LLC NPI 1477000776


NPI Information

NPI: 1477000776
Provider Name: RISING ROADS RECOVERY SERVICES FOR WOMEN, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2151676

Address:
10905 EL DOMINO AVE
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 594-3542
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RISING ROADS RECOVERY SERVICES FOR WOMEN, LLC is a substance abuse rehabilitation facility in Fountain Valley, 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. RISING ROADS RECOVERY SERVICES FOR WOMEN, LLC NPI is 1477000776. The provider is registered as an organization entity type.

The provider's business location address is:

10905 EL DOMINO AVE
FOUNTAIN VALLEY, CA
ZIP 92708-907
Phone: (714) 594-3542
Fax: (714) 786-8986

The provider's authorized official is Rebecca Gatdula .
The authorized official title is Ceo and has the following contact phone number (714) 594-3542.

The CLIA number assigned to this NPI record is 05D2151676 - other - residental impatient with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2016 and was last updated on 3/5/2024.


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 Facility300659APCALIFORNIAYes

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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