PREMIER RECOVERY SERVICE INC. NPI 1629580709

NPI Information

NPI: 1629580709
Provider Name: PREMIER RECOVERY SERVICE, INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
29350 PACIFIC COAST HWY STE 12
MALIBU, CA
ZIP 90265
Phone: (310) 994-0506
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PREMIER RECOVERY SERVICE, INC. is an adult mental health clinic center in Malibu, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PREMIER RECOVERY SERVICE, INC. NPI is 1629580709. The provider is registered as an organization entity type.

The provider's business location address is:

29350 PACIFIC COAST HWY STE 12
MALIBU, CA
ZIP 90265-970
Phone: (310) 994-0506

The provider's authorized official is Anahita Kia .
The authorized official title is Clinical Director and has the following contact phone number (818) 307-6255.

The enumeration date for this NPI number is 10/30/2017 and was last updated on 10/30/2017.

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	261QM0850X	Clinic/Center	Adult Mental Health			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: 5/5/2024

NPI Synchronization or Removal

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