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DYNAMIC TRANSFORMATIONS NPI 1639690449


NPI Information

NPI: 1639690449
Provider Name: DYNAMIC TRANSFORMATIONS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1247 CANTANIA DR
REDLANDS, CA
ZIP 92374
Phone: (800) 417-0485
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DYNAMIC TRANSFORMATIONS is a substance abuse rehabilitation facility in Redlands, 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. DYNAMIC TRANSFORMATIONS NPI is 1639690449. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1247 CANTANIA DR
REDLANDS, CA
ZIP 92374-748
Phone: (800) 417-0485
Fax: (909) 335-2804

The provider's authorized official is Gary Hitchcock .
The authorized official title is Ceo and has the following contact phone number (949) 280-6166.

The enumeration date for this NPI number is 6/30/2017 and was last updated on 6/30/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessionalNo
3106H00000XMarriage & Family TherapistNo
4324500000XSubstance Abuse Rehabilitation FacilityYes

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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