BLUESTONE RECOVERY INC. NPI 1578962114

NPI Information

NPI: 1578962114
Provider Name: BLUESTONE RECOVERY, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1660 CHICAGO AVE STE M11
RIVERSIDE, CA
ZIP 92507
Phone: (951) 823-0540
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BLUESTONE RECOVERY, INC. is a rehabilitation and substance use disorder clinic center in Riverside, CA. BLUESTONE RECOVERY, INC. NPI is 1578962114. The provider is registered as an organization entity type.

The provider's business location address is:

1660 CHICAGO AVE STE M11
RIVERSIDE, CA
ZIP 92507-033
Phone: (951) 823-0540
Fax: (951) 823-0541

The provider's authorized official is Michael J Lyons .
The authorized official title is Ceo and has the following contact phone number (951) 536-2213.

The enumeration date for this NPI number is 8/20/2014 and was last updated on 9/20/2016.

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
1	324500000X	Substance Abuse Rehabilitation Facility		360107BP	CALIFORNIA	No
2	251S00000X	Community/Behavioral Health		330127AP	CALIFORNIA	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	330127AP	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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