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B II AJ OUR HOUSE LLC NPI 1568803252


NPI Information

NPI: 1568803252
Provider Name: B II AJ OUR HOUSE, LLC

Other Name: AJ'S AMETHYST HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1119 W 7TH ST
SAN JACINTO, CA
ZIP 92582
Phone: (951) 294-5881
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B II AJ OUR HOUSE, LLC 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. B II AJ OUR HOUSE, LLC NPI is 1568803252. The provider is registered as an organization entity type.
The provider Other Name Is Aj's Amethyst House.

The provider's business location address is:

1119 W 7TH ST
SAN JACINTO, CA
ZIP 92582-856
Phone: (951) 294-5881
Fax: (951) 693-2007

The provider's authorized official is Arlean J Truax .
The authorized official title is Executive Director and has the following contact phone number (951) 294-5881.

The enumeration date for this NPI number is 7/10/2013 and was last updated on 7/10/2013.


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 FacilityCALIFORNIAYes

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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