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WCHS INC. NPI 1568522928


NPI Information

NPI: 1568522928
Provider Name: WCHS, INC.

Doing Business As: COLTON CLINICAL SERVICES

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 05D0705965

Address:
2275 E COOLEY DR
COLTON, CA
ZIP 92324
Phone: (909) 370-1777
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WCHS, INC. is a methadone clinic center in Colton, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. WCHS, INC. NPI is 1568522928. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Colton Clinical Services.

The provider's business location address is:

2275 E COOLEY DR
COLTON, CA
ZIP 92324-324
Phone: (909) 370-1777
Fax: (909) 370-1776

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 05D0705965 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 8/10/2023.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)360066APCALIFORNIANo
2261QM2800XClinic/CenterMethadone36-05CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HDC70012FMEDICAIDCALIFORNIA

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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